Organization · Type 2 NPI
Potlatch Rural Fire Dist
Land Ambulance · Potlatch, ID
NPI number
1053504829
Active
Practice location
512 Pine Street
Potlatch, ID 83855
Mailing address
PO Box 63
Potlatch, ID 83855-0063
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Land Ambulance Primary | 3416L0300X | 7206 (ID) |
Land Ambulance: Definition to come...
About NPI 1053504829
Potlatch Rural Fire Dist's National Provider Identifier is 1053504829, issued on Aug 24, 2007. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Potlatch, ID. The record was last updated on Oct 20, 2009.