Clark County Ambulance

LBN: County Of Clark
Clark County Ambulance is an health care organization with primary practice located at 332 W Main , Dubois ID 83423-0205. The organization recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Intermediate, which is considered as the primary health care specialty. County Of Clark can be contacted via phone (208) 374-5304, or through Black, Lisa via phone (208) 374-5304.

Contact Information

Primary practice address
332 W Main Dubois ID 83423-0205
Phone: (208) 374-5304
Fax: (208) 374-5609
Website:
Map and Directions
Authorized official contact:
Name: Black, Lisa
Phone: (208) 374-5304

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Intermediate 146M00000X Idaho

Profile Details

NPI number 1679791412
LBN Legal business name County Of Clark
DBA Doing business as Clark County Ambulance
Authorized official Black, Lisa
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2007
Last updated Aug 29th, 2011 - about 15 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 1679791412 NPPES
Idaho MEDICAID 0028083
Idaho Other 7702

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