NPI 1053801035 · live from the CMS NPI Registry
East Boise County Ambulance District
Ambulance in Idaho City, ID. National Provider Identifier 1053801035, active.
NPI record
| NPI | 1053801035 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance 341600000X |
| Practice location | 204 W. Commercial St, Idaho City, ID 83631 |
| Practice phone | 208-392-6644 |
| Mailing address | Po Box 1300, Idaho City, ID 83631 |
| Enumerated | May 15, 2018 |
| Last updated | May 15, 2018 |
| Authorized official | Angela Dill, Director Of Opertions |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance primary | 341600000X | 5430 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.