Provider Demographics
NPI:1508292871
Name:PALOUSE AREA CARE & TRANSPORT
Entity Type:Organization
Organization Name:PALOUSE AREA CARE & TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
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 1:111 N WASHINGTON ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MOSCOW
Mailing Address - State:ID
Mailing Address - Zip Code:83843-2884
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:111 N WASHINGTON ST
Practice Address - Street 2:SUITE 3
Practice Address - City:MOSCOW
Practice Address - State:ID
Practice Address - Zip Code:83843-2884
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:2013-09-18
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport