Lost River Emt

NPI #1588910913 in Arco, Idaho

Provider Information

NPI Number: 1588910913
Entity Type: Organization
Organization Name: Lost River Emt
Primary Specialty: Ambulance - Land Transport
Enumeration Date: Aug 3, 2012
Last Updated: Aug 3, 2012

Practice Location

Address: 201 N. IDAHO ST.
City: Arco
State: Idaho
ZIP Code: 83213-0503
Phone: (208) 527-3046

Authorized Official

Name: MR. ROBERT MOZES
Title: PRESIDENT
Phone: (208) 554-2013

Specialties & Taxonomy Codes

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

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