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.
|Practice Location|| 854 Banks-lowman Rd, Garden Valley, ID 83622, US |
|Practice Location Phone||208-462-2307|
|Practice Location Fax|
|Legal Business Name||CROUCH VOLUNTEER AMBULANCE SERVICE, INC|
|Enumeration Date ? ||Jan 16, 2007|
|Last Update Date ? ||Jun 12, 2014|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Crouch Volunteer Ambulance Service, Inc
|Specialty||Provider Type||Specialization||License||License State|
|Emergency Medical Technician, Intermediate||Emergency Medical Service Providers|| ||5404||Idaho|
|Ambulance||Transportation Services||Land Transport ||5404||Idaho|
Legacy Provider IDs of Crouch Volunteer Ambulance Service, Inc
|Provider Id||Issuer State||Issuer Type||Issuer|
|E 01611||Idaho||Other||BLUE CROSS|
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/Position||VICE PRESIDENT|
|Authorized Official Phone Number||208-243-4059|