Custer County

NPI #1487764551 in Mackay, Idaho

Provider Information

NPI Number: 1487764551
Entity Type: Organization
Organization Name: Custer County
Primary Specialty: Ambulance - Land Transport
Enumeration Date: Aug 30, 2006
Last Updated: Jun 13, 2023

Practice Location

Address: 202 MCCALEB STREET
City: Mackay
State: Idaho
ZIP Code: 83251
Phone: (208) 588-2603

Authorized Official

Name: WAYNE BUTTS
Title: CHAIRMAN OF THE BOARD OF CUSTER COU
Phone: (208) 879-2360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance - Land Transport — Land Transport	3416L0300X	Primary

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