Bannock County Ambulance District

NPI #1962485946 in Pocatello, Idaho

Provider Information

NPI Number: 1962485946
Entity Type: Organization
Organization Name: Bannock County Ambulance District
Primary Specialty: Ambulance - Land Transport
Enumeration Date: Nov 23, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 408 E WHITMAN ST
City: Pocatello
State: Idaho
ZIP Code: 83201-6450
Phone: (208) 234-6200

Authorized Official

Name: MRS. TAMI WILSON
Title: ADMINISTRATIVE ASSISTANT
Phone: (208) 234-6200

Specialties & Taxonomy Codes

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

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