Midvale Fire Protection District

NPI #1700051471 in Midvale, Idaho

Provider Information

NPI Number: 1700051471
Entity Type: Organization
Organization Name: Midvale Fire Protection District
Primary Specialty: Ambulance - Land Transport
Enumeration Date: Apr 24, 2008
Last Updated: Apr 24, 2008

Practice Location

Address: 10 S RIVER STREET
City: Midvale
State: Idaho
ZIP Code: 83645
Phone: (208) 550-1605

Authorized Official

Name: BRIAN GRAHAM
Title: EMS SUPERVISOR
Phone: (208) 550-1605

Specialties & Taxonomy Codes

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

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