Mudlake Ambulance in Terreton - Land Transport
Mudlake Ambulance - NPI 1699854141
Mudlake Ambulance is a Land Transport in Terreton, Idaho. Mudlake Ambulance practices all healthcare services and medical treatments related to Land Transport. The NPI Number for Mudlake Ambulance is 1699854141. The last update date is 2007-07-10.
Mudlake Ambulance's current location address is 1055 East 1100 North, Terreton, Idaho. You can contact this provider via phone number 2087162369. The mailing address for Mudlake Ambulance is 1055 East 1100 North, Terreton, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mudlake Ambulance |
|---|---|
| Address | 1055 East 1100 North, Terreton, Idaho |
| Phone Number | 2087162369 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | TREASURER |
|---|---|
| Authorized Official Name | Webster Melissa |
| Telephone Number | 2087162369 |
NPI Number Detail
| NPI Number | 1699854141 |
|---|---|
| Provider Enumeration Date | 2006-11-03 |
| Last Updated Date | 2007-07-10 |
Provider Mailing Address Detail
| Address | 1055 East 1100 North |
|---|---|
| City | Terreton |
| State | Idaho (ID) |
| Post Code | 83450 |
| Phone Number | 2087162369 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Land Transport |
|---|---|
| Taxonomy | 3416L0300X |
| Licence No | 7714 |
|
Definition: Provides emergency patient transportation by ground using specialized vehicles equipped with medical equipment and staffed by medical personnel. |
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Post Comment/ Review Below
What is the Mudlake Ambulance's 1699854141?
The Mudlake Ambulance's NPI (National Provider Identifier) Number is 1699854141. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mudlake Ambulance is geographically located?
The Mudlake Ambulance is physically situated at the following location: 1055 East 1100 North, Terreton, ID, 83450.
What is Mudlake Ambulance's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mudlake Ambulance is Land Transport, and the corresponding taxonomy classification code for this specialized field is 3416L0300X.
On what date was the 1699854141 assigned to Mudlake Ambulance?
The Mudlake Ambulance was issued its 1699854141 on 2006-11-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Mudlake Ambulance, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mudlake Ambulance, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-10.