Shoshone County Ems Corporation

NPI #1548520042 in Kellogg, Idaho

Provider Information

NPI Number: 1548520042
Entity Type: Organization
Organization Name: Shoshone County Ems Corporation
Primary Specialty: Ambulance - Land Transport
Enumeration Date: May 18, 2012
Last Updated: Jan 5, 2015

Practice Location

Address: 204 OREGON ST
Address 2: SUITE Q
City: Kellogg
State: Idaho
ZIP Code: 83837-5018
Phone: (208) 446-4822

Authorized Official

Name: WILLIAM A HOLSTEIN JR., PARAMEDIC
Title: CHIEF OFFICER
Phone: (208) 446-4822

Specialties & Taxonomy Codes

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

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