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General NPI Number Information
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NPI Number | 1154314987
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Entity Type | Organization
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Legal Business Name | KOOTENAI COUNTY EMERGENCY MEDICAL SERVICES SYSTEM
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Dates
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Enumeration Date | 08/26/2005
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Last Update Date | 04/08/2024
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Provider Practice Location Address
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Address Line | 4381 W SELTICE WAY
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City | COEUR D ALENE
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State | ID
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Zip | 83814-8910
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Country | US
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Telephone | 208-930-4224
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Fax | 208-930-4259
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Provider Business Mailing Address
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Address Line | PO BOX 3510
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City | SILVERDALE
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State | WA
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Zip | 98383-3510
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Country | US
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Telephone | 360-394-7020
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Fax | 360-394-7099
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | TRACY R ABRAHAMSON
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Credential |
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Telephone | 208-930-4224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 8146
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License Number State | ID
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