Boundary Volunteer Ambulance Service Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1500244 Issued in ID

Legal business name

BOUNDARY VOLUNTEER AMBULANCE SERVICE INC.

Practice address

6447 Railroad Street
Bonners Ferry, ID 83805-6447

Phone

(208) 267-2604

Fax

(208) 267-9408

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth V Baker

Title

Chief

Phone

(208) 267-2604

Specialties & licenses 1

Addresses

Other identifiers 3

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.

• Celina Ululani Larson

  • Clinical Social Worker
  • Sandpoint, ID
  • NPI 1184050957
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1801920251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 441",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838050441",
            "telephone_number": "208-267-2604",
            "fax_number": "208-267-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6447 RAILROAD STREET",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838056447",
            "telephone_number": "208-267-2604",
            "fax_number": "208-267-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNDARY VOLUNTEER AMBULANCE SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "208-267-2604",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "ID",
            "license": "1500244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002645200",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "E0443",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA - RAILROAD",
            "identifier": "590161331",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Boundary County School District #101
• Boundary Regional Community Health Center Inc
• Boundary Regional Community Health Center, Inc.
• Boundary Regional Community Health Center, Inc.
• Boundary Regional Community Health Center, Inc.
• Alicia Braden, LMP
• Madeline Brown
• John Pierce Brownlee Jr., CRNA
• Sherry Lee Bushnell, FNP
• Kimberly Ruth Carey, LCSW

• Ambulance in Bonners Ferry, ID
• Providers in Bonners Ferry, ID by specialty
• Ambulance in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.