Boise County
Organization Active NPI Ambulance · Idaho City, ID
NPI 1316003379 · NPPES record last updated Oct 24, 2012
Key facts
- NPI
- 1316003379
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 5430 (ID)
- Legal business name
- BOISE COUNTY
- Practice address
- Boise County Office
420 Main Street
Idaho City, ID 83631 - Phone
- (208) 392-4431
- Fax
- (208) 392-4473
- NPI assigned
- Dec 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Jill Cheri Browning, BOISE COUNTY DEPUTY
- Title
- Deputy Clerk Ebcad Accounts Receiva
- Phone
- (208) 392-6066
National Provider Directory
Locations
420 Main St
Ofc
Idaho City, ID 83631
Phone (208) 392-4431
420 Main St
Idaho City, ID 83631
Phone (208) 392-6066
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 5430 | ID | Yes |
Addresses
Primary practice location
Boise County Office
420 Main Street
Idaho City, ID 83631
Mailing address
PO Box 1300
Idaho City, ID 83631
Phone (208) 392-6066
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002807600 | Medicaid | ID | |
| 295878726 | Other | TRICARE | |
| 239843900 | Other | OWC WORKERS COMP | |
| 000010014380 | Other | BLUE SHIELD | |
| E0732 | Other | BLUE CROSS |
Other providers in Idaho City, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.