Clark Fork Valley Ambulance Service, Inc.
Clark Fork Valley Ambulance Service, Inc. is a health care provider in Clark Fork, ID. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 111 East 2nd, Clark Fork, ID 83811-0464, US |
|Practice Location Phone||208-266-1161|
|Practice Location Fax||208-266-0219|
|Legal Business Name||CLARK FORK VALLEY AMBULANCE SERVICE, INC.|
|Enumeration Date ? ||Aug 3, 2005|
|Last Update Date ? ||Feb 28, 2017|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Clark Fork Valley Ambulance Service, Inc.
|Specialty||Provider Type||Specialization||License||License State|
|Ambulance||Transportation Services||Land Transport ||6103||Idaho|
Legacy Provider IDs of Clark Fork Valley Ambulance Service, Inc.
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of Clark Fork Valley Ambulance Service, Inc.
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Clark Fork Valley Ambulance Service, Inc.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official ||Mrs. Dee Miller|
|Authorized Official Title/Position||DIRECTOR & ACCTS REC'BLE OFFICER|
|Authorized Official Phone Number||208-610-3164|