# BOISE COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316003379
- **Authorized official:** JILL CHERI BROWNING BOISE COUNTY DEPUTY (DEPUTY CLERK EBCAD ACCOUNTS RECEIVA)
- **Authorized official phone:** (208) 392-6066

## Contact information

- **Practice address:** BOISE COUNTY OFFICE, 420 MAIN STREET, IDAHO CITY, ID 83631
- **Practice address phone:** (208) 392-4431
- **Practice address fax:** (208) 392-4473
- **Mailing address:** PO BOX 1300, IDAHO CITY, ID 83631
- **Mailing address phone:** (208) 392-6066
- **Mailing address fax:** (208) 392-6066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 5430 | ID | Yes |

## Other

- **Enumeration date:** 12/27/2006
- **Last updated:** 10/24/2012

## 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 | — |