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Organization
BOUNDARY VOLUNTEER AMBULANCE SERVICE INC.
Active
Organization
BOUNDARY VOLUNTEER AMBULANCE SERVICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH V BAKER (CHIEF)
(208) 267-2604
Entity
Organization
Contact information
Practice address
6447 RAILROAD STREET, BONNERS FERRY, ID 83805-6447
(208) 267-2604
(208) 267-9408
Mailing address
PO BOX 441, BONNERS FERRY, ID 83805-0441
(208) 267-2604
(208) 267-9408
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1500244
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002645200
—
ID
01
—
590161331
PALMETTO GBA - RAILROAD
ID
01
—
E0443
BLUE CROSS OF IDAHO
ID
Enumeration date
03/16/2007
Last updated
11/08/2018
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