Injury Care Emergency Medical Services

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

INJURY CARE EMERGENCY MEDICAL SERVICES

Practice address

4850 N Rosepoint Way
Ste 100
Boise, ID 83713-5262

Phone

(208) 939-2100

Fax

(208) 939-4411

NPI assigned

Jan 14, 2009

Organization subpart

No

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

Authorized official

Name

Richard Radnovich, D.O.NPI 1407944655

Title

Partner

Phone

(208) 939-2100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Radnovich, DO

  • Sports Medicine (Family Medicine) Physician
  • Boise, ID
  • NPI 1407944655
  NPD Authorized official

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1093952947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 N ROSEPOINT WAY",
            "address_2": "STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837135262",
            "telephone_number": "208-939-2100",
            "fax_number": "208-939-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 N ROSEPOINT WAY",
            "address_2": "STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837135262",
            "telephone_number": "208-939-2100",
            "fax_number": "208-939-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INJURY CARE EMERGENCY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "RADNOVICH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "208-939-2100",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Ingles, LCPC
• Matthew Inglet, CRNA
• Robert G Ingram, LCSW
• Jesus Iniguez Jr.
• Initiatives Healthcare, LLC
• Kandiss L Inman, WHNP-BC, MSN, MSCP
• Innervision Counseling of Boise
• Innovative Care Pharmacy (Innovative Care Pharmacy LLC)
• Innovative Care Pharmacy (Innovative Care Pharmacy LLC)
• Innovative Health Solutions, LLC

• Land Ambulance in Boise, ID
• Providers in Boise, ID by specialty
• Land Ambulance in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.