NPI 1316003379 · live from the CMS NPI Registry
Boise County
Ambulance in Idaho City, ID. National Provider Identifier 1316003379, active.
NPI record
| NPI | 1316003379 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance 341600000X |
| Practice location | Boise County Office, 420 Main Street, Idaho City, ID 83631 |
| Practice phone | 208-392-4431 |
| Mailing address | Po Box 1300, Idaho City, ID 83631 |
| Enumerated | December 27, 2006 |
| Last updated | October 24, 2012 |
| Authorized official | Jill Browning, Deputy Clerk Ebcad Accounts Receiva |
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.