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Potlatch Rural Fire Dist — NPI 1053504829, Potlatch, ID | NPI Central

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NPI 1053504829

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Potlatch Rural Fire Dist

NPI 1053504829 · Land Ambulance · Potlatch, ID

Provider details

NPI number: 1053504829
Entity type: Organization
Primary specialty: Land AmbulanceTransportation Services
Organization subpart: No
Authorized official: Vivian Coy, Ambulance Commissioner(208) 875-0139
License: 7206 (ID)

Specialties & taxonomies

Land AmbulancePrimary3416L0300XLicense 7206 (ID)
Transportation Services

Practice location

512 Pine Street

Potlatch, ID 83855

Phone: (208) 875-0139

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

Po Box 63

Potlatch, ID 83855-0063

Registry dates

Enumerated: 2007-08-24
Last updated: 2009-10-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.