County of Ada

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

8407 Issued in ID

Legal business name

COUNTY OF ADA

Doing business as

Ada County Emergency Medical Services

Practice address

370 N. Benjamin Lane
Boise, ID 83704

Phone

(208) 287-2950

Fax

(208) 287-2999

NPI assigned

May 23, 2005

Last updated

May 4, 2011By 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

Mr. Troy M. Hagen

Title

Director

Phone

(208) 287-2965

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Ada County Emergency Medical Services Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Acjcs4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Acjcs

  • Community/Behavioral Health Agency
  • Boise, ID
  • NPI 1811374432
  NPD tax ID
• Ada County Juvenile Court Services

  • Community/Behavioral Health Agency
  • Boise, ID
  • NPI 1942632500
  NPD tax ID
• Ada County Treatment Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Boise, ID
  • NPI 1427450055
  NPD tax ID

Locations

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1700889987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 N. BENJAMIN LANE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83704",
            "telephone_number": "208-287-2950",
            "fax_number": "208-287-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 N. BENJAMIN LANE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83704",
            "telephone_number": "208-287-2950",
            "fax_number": "208-287-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF ADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "HAGEN",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "208-287-2965",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ID",
            "license": "8407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "E002-1",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9535501",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010014241",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192187",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002807200",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XMTE06322",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ada County Emergency Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel James Councell, PA-C
• Jessica Wynn Councell, CNM
• Judith Anne Councell
• Counseling Center at Tree City, Inc.
• Christopher R Counsil, NP
• Courage to Talk Therapeutic Counseling Center PLLC
• Courage to Talk Therapeutic Counseling Center PLLC
• Courtney Morgan LCSW LLC (Compass Somatic Wellness)
• Amanda Aebersold Couture, MA CCC/SLP
• Rachel Peters Covalt, LMSW

• 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 May 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.