Organization · Type 2 NPI

Blaine County

Land Ambulance · Ketchum, ID

NPI number 1083614036 Active

Practice location

480 E Avenue N
Ketchum, ID 83340

Call (208) 788-5505 Map

Mailing address

206 S 1st Ave, Suite 200
Hailey, ID 83333-8429

Specialties and licenses

Taxonomy	Code	License
Land Ambulance Primary	3416L0300X	None listed

Land Ambulance: Definition to come...

NPI record

NPI: 1083614036
Entity type: Organization (Type 2)
Issued: Jul 29, 2005
Last updated: Dec 17, 2019
Status: Active

Other names

<unavail>
Blaine County Ambulance District · doing business as
Blaine County Ambulance District · doing business as

Authorized official

Jolynn Drage
Clerk, Auditor and Recorder
(208) 788-5505

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083614036

Blaine County's National Provider Identifier is 1083614036, issued on Jul 29, 2005. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Ketchum, ID. The record was last updated on Dec 17, 2019.