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Custer County — NPI 1487764551, Mackay, ID | NPI Central

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NPI 1487764551

OrganizationActive

Custer County

NPI 1487764551 · Land Ambulance · Mackay, ID

Provider details

NPI number: 1487764551
Entity type: Organization
Primary specialty: Land AmbulanceTransportation Services
Organization subpart: No
Authorized official: Wayne Butts, Chairman of the Board of Custer Cou(208) 879-2360
License: 7712 (ID)

Specialties & taxonomies

Land AmbulancePrimary3416L0300XLicense 7712 (ID)
Transportation Services

Practice location

202 Mccaleb Street

Mackay, ID 83251

Phone: (208) 588-2603

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

Po Box 385

Challis, ID 83226

Other names (DBA / former)

Doing business as: South Custer Ambulance

Registry dates

Enumerated: 2006-08-30
Last updated: 2023-06-13
Certified: 2023-06-13

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