Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MUDLAKE AMBULANCE
Active OrganizationMUDLAKE AMBULANCE is a Ground Ambulance Transport organization located in TERRETON, Idaho. NPI 1699854141 is currently active in the NPPES registry. Verify at CMS.
Ground Ambulance Transport · TERRETON, ID
Registration Details
- NPI Number
- 1699854141
- Provider Type
- Organization
- NPI Issued
- Nov 3, 2006 (19.600205386963 yrs)
- Last Updated
- Jul 10, 2007
- License
-
7714 (ID)
Practice Information
- Address
-
1055 EAST 1100 NORTHTERRETON, ID, 83450Browse ID providers · Browse ZIP 83450
- Phone
- 2087162369
- Primary Specialty
-
Ground Ambulance Transport
3416L0300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.