Deary Ambulance

NPI #1720082712 in Deary, Idaho

Provider Information

NPI Number: 1720082712
Entity Type: Organization
Organization Name: Deary Ambulance
Primary Specialty: Ambulance - Land Transport
Enumeration Date: Jun 8, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 403 MAIN ST
City: Deary
State: Idaho
ZIP Code: 83823-9601
Phone: (208) 877-1515

Authorized Official

Name: BRIAN ROBERTSON, FIRST RESPONDER
Title: TREASURER
Phone: (208) 877-1515

Specialties & Taxonomy Codes

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

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