# ADA BOI INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ada-Boi Critical Care Transport Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740251925
- **Authorized official:** MRS. KATHIE S FOGG EMT (OFFICE MANAGER)
- **Authorized official phone:** (208) 362-2973

## Contact information

- **Practice address:** 7701 W MOSSY CUP ST, BOISE, ID 83709-2844
- **Practice address phone:** (208) 362-2973
- **Practice address fax:** (208) 362-0854
- **Mailing address:** PO BOX 190480, BOISE, ID 83719-0480
- **Mailing address phone:** (208) 362-2973
- **Mailing address fax:** (208) 362-0854

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 8405 | ID | Yes |
| 3416L0300X | Land Ambulance | 8405 | ID | — |

## Other

- **Enumeration date:** 01/27/2006
- **Last updated:** 05/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000010014479 | BLUE SHIELD OF IDAHO | ID |
| 05 | — | 002496600 | — | ID |
| 01 | — | 590157443 | RR MEDICARE | ID |
| 01 | — | E0419 | TRUE BLUE | ID |