South Custer Ambulance

LBN: Custer County
South Custer Ambulance is an health care organization with primary practice located at 202 Mccaleb Street , Mackay ID 83251. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Custer County can be contacted via phone (208) 588-2603, or through Butts, Wayne via phone (208) 879-2360.

Contact Information

Primary practice address
202 Mccaleb Street Mackay ID 83251
Phone: (208) 588-2603
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Butts, Wayne
Phone: (208) 879-2360

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 7712 Idaho

Profile Details

NPI number 1487764551
LBN Legal business name Custer County
DBA Doing business as South Custer Ambulance
Authorized official Butts, Wayne
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Jun 13th, 2023 - about last year

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 1487764551 NPPES
Idaho MEDICAID 002504700
Idaho Other E0609

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