Provider Demographics
NPI:1366154015
Name:CENTRAL FIRE AMBULANCE SERVICE
Entity type:Organization
Organization Name:CENTRAL FIRE AMBULANCE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JARED
Authorized Official - Middle Name:T
Authorized Official - Last Name:GIANNINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-745-6003
Mailing Address - Street 1:PO BOX 217
Mailing Address - Street 2:
Mailing Address - City:RIGBY
Mailing Address - State:ID
Mailing Address - Zip Code:83442-0217
Mailing Address - Country:US
Mailing Address - Phone:208-745-6003
Mailing Address - Fax:
Practice Address - Street 1:697 ANNIS HWY
Practice Address - Street 2:
Practice Address - City:RIGBY
Practice Address - State:ID
Practice Address - Zip Code:83442-1221
Practice Address - Country:US
Practice Address - Phone:208-745-6003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRAL FIRE DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-12-14
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport