Provider Demographics
NPI:1548260805
Name:COUNTY OF CAMAS
Entity type:Organization
Organization Name:COUNTY OF CAMAS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:M
Authorized Official - Last Name:CRONER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-764-2611
Mailing Address - Street 1:PO BOX 430
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:ID
Mailing Address - Zip Code:83327-0430
Mailing Address - Country:US
Mailing Address - Phone:208-764-2611
Mailing Address - Fax:
Practice Address - Street 1:401 CAMAS AVE W
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:ID
Practice Address - Zip Code:83327
Practice Address - Country:US
Practice Address - Phone:208-764-2611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-28
Last Update Date:2013-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID002808100Medicaid
ID1503883Medicare PIN