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Organization
BOISE COUNTY
Active
Organization
BOISE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL CHERI BROWNING BOISE COUNTY DEPUTY (DEPUTY CLERK EBCAD ACCOUNTS RECEIVA)
(208) 392-6066
Entity
Organization
Contact information
Practice address
BOISE COUNTY OFFICE, 420 MAIN STREET, IDAHO CITY, ID 83631
(208) 392-4431
(208) 392-4473
Mailing address
PO BOX 1300, IDAHO CITY, ID 83631
(208) 392-6066
(208) 392-6066
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
5430
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010014380
BLUE SHIELD
—
05
—
002807600
—
ID
01
—
239843900
OWC WORKERS COMP
—
01
—
295878726
TRICARE
—
01
—
E0732
BLUE CROSS
—
Enumeration date
12/27/2006
Last updated
10/24/2012
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