East Boise County Ambulance District

Primary specialty

AmbulanceTaxonomy code 341600000X

License

5430 Issued in ID

Legal business name

EAST BOISE COUNTY AMBULANCE DISTRICT

Practice address

204 W. Commercial St
Idaho City, ID 83631

Phone

(208) 392-6644

Fax

(208) 392-6644

NPI assigned

May 15, 2018

Last updated

May 15, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Angela Dill, EMT

Title

Director of Opertions

Phone

(208) 392-6644

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1053801035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1300",
            "city": "IDAHO CITY",
            "state": "ID",
            "postal_code": "836311300",
            "telephone_number": "208-392-6644",
            "fax_number": "208-392-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W. COMMERCIAL ST",
            "city": "IDAHO CITY",
            "state": "ID",
            "postal_code": "83631",
            "telephone_number": "208-392-6644",
            "fax_number": "208-392-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BOISE COUNTY AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "DILL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERTIONS",
        "authorized_official_telephone_number": "208-392-6644",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "ID",
            "license": "5430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002807600",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Assurance Behavioral Health, LLC.
• Gabrielle Monet Bland
• Boise County
• Boise House Calls, LLC
• County of Boise School Dist 72
• East Boise County EMS District
• Health and Financial Consulting (HFC DBA BasinCommunity Health Center)
• Idaho City Family Dentistry
• Lynda J Maricle-Kuwahara, APRN-C
• Vicki Voss, SLP

• Ambulance in Idaho City, ID
• Providers in Idaho City, ID by specialty
• Ambulance in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.