Crouch Volunteer Ambulance Service, Inc
LBN: Crouch Volunteer Ambulance Service, Inc
Crouch Volunteer Ambulance Service, Inc is an health care organization with primary practice located at 854 Banks-Lowman Rd , Garden Valley ID 83622. The organization recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Intermediate, Transportation Services / Land Transport. Transportation Services / Land Transport is the primary health care specialty.
Crouch Volunteer Ambulance Service, Inc can be contacted via phone (208) 462-2307, or through Metz, Jonathan C. via phone (208) 243-4059.
Contact Information
Primary practice address
854 Banks-Lowman Rd
Garden Valley ID 83622
Phone: (208) 462-2307
Fax:
Website:
Authorized official contact:
Name: Metz, Jonathan C. Emergency Medical Technician-Paramedic (EMT-P)
Phone: (208) 243-4059
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Emergency Medical Service Providers / Emergency Medical Technician, Intermediate | 146M00000X | 5404 | Idaho |
| Transportation Services / Land Transport | 3416L0300X | 5404 | Idaho |
Profile Details
| NPI number | 1932250651 |
|---|---|
| LBN Legal business name | Crouch Volunteer Ambulance Service, Inc |
| DBA Doing business as | |
| Authorized official | Metz, Jonathan C. Emergency Medical Technician-Paramedic (EMT-P) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Jun 12th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932250651 | NPPES |
| Idaho | Other | E 01611 | BLUE CROSS |
| Idaho | MEDICAID | 002807500 | BLUE CROSS |
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