Blaine County Ambulance District

LBN: Blaine County
Blaine County Ambulance District is an health care organization with primary practice located at 480 E Avenue N , Ketchum ID 83340. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Blaine County can be contacted via phone (208) 788-5505, or through Drage, Jolynn via phone (208) 788-5505.

Contact Information

Primary practice address
480 E Avenue N Ketchum ID 83340
Phone: (208) 788-5505
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Drage, Jolynn
Phone: (208) 788-5505

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X

Profile Details

NPI number 1083614036
LBN Legal business name Blaine County
DBA Doing business as Blaine County Ambulance District
Authorized official Drage, Jolynn
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2005
Last updated Dec 17th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083614036 NPPES
Idaho Other 590014405 RRB
Idaho MEDICAID 805848400 RRB
Idaho MEDICAID 805848500 RRB

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