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Crouch Volunteer Ambulance Service, Inc

Crouch Volunteer Ambulance Service, Inc is a health care provider in Garden Valley, ID. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 854 Banks-lowman Rd, Garden Valley, ID 83622, US
Practice Location Phone208-462-2307
Practice Location Fax
Legal Business NameCROUCH VOLUNTEER AMBULANCE SERVICE, INC
NPI ?1932250651
Entity TypeOrganization
Enumeration Date ? Jan 16, 2007
Last Update Date ? Jun 12, 2014
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Crouch Volunteer Ambulance Service, Inc

SpecialtySpecializationLicenseLicense State
Emergency Medical Technician, Intermediate 5404Idaho
AmbulanceLand Transport 5404Idaho

legacy-id-icon Legacy Provider IDs of Crouch Volunteer Ambulance Service, Inc

Provider IdIssuer StateIssuer TypeIssuer
1504460IdahoMedicare Pin
E01611IdahoMedicare Upin
002807500IdahoMedicaid
E 01611IdahoOtherBLUE CROSS

official-icon Authorized Official of Crouch Volunteer Ambulance Service, Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Crouch Volunteer 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 Mr. Jonathan C. Metz (EMT-P)
Authorized Official Title/PositionVICE PRESIDENT
Authorized Official Phone Number208-243-4059