Home » Idaho » 83811 » Clark Fork Valley Ambulance Service, Inc.

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.

physician-icon Basic Information

Practice Location 111 East 2nd, Clark Fork, ID 83811-0464, US
Practice Location Phone208-266-1161
Practice Location Fax208-266-0219
Legal Business NameCLARK FORK VALLEY AMBULANCE SERVICE, INC.
NPI ?1841291630
Entity TypeOrganization
Enumeration Date ? Aug 3, 2005
Last Update Date ? Feb 28, 2017
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Clark Fork Valley Ambulance Service, Inc.

SpecialtySpecializationLicenseLicense State
AmbulanceLand Transport 6103Idaho

legacy-id-icon Legacy Provider IDs of Clark Fork Valley Ambulance Service, Inc.

Provider IdIssuer StateIssuer TypeIssuer
002459300IdahoMedicaid
1504745IdahoOtherPTAN

official-icon 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/PositionDIRECTOR & ACCTS REC'BLE OFFICER
Authorized Official Phone Number208-610-3164