Provider Demographics
NPI:1437573946
Name:PALOUSE AREA CARE & TRANSPORT, LLC
Entity Type:Organization
Organization Name:PALOUSE AREA CARE & TRANSPORT, LLC
Other - Org Name:PACT EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TROY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAKARIASEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-722-8367
Mailing Address - Street 1:521 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MOSCOW
Mailing Address - State:ID
Mailing Address - Zip Code:83843-2615
Mailing Address - Country:US
Mailing Address - Phone:855-722-8367
Mailing Address - Fax:
Practice Address - Street 1:521 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MOSCOW
Practice Address - State:ID
Practice Address - Zip Code:83843-2615
Practice Address - Country:US
Practice Address - Phone:855-722-8367
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-05
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID59183416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport