# BOUNDARY VOLUNTEER AMBULANCE SERVICE INC.

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

## Provider details

- **NPI number:** 1801920251
- **Authorized official:** MR. KENNETH V BAKER (CHIEF)
- **Authorized official phone:** (208) 267-2604

## Contact information

- **Practice address:** 6447 RAILROAD STREET, BONNERS FERRY, ID 83805-6447
- **Practice address phone:** (208) 267-2604
- **Practice address fax:** (208) 267-9408
- **Mailing address:** PO BOX 441, BONNERS FERRY, ID 83805-0441
- **Mailing address phone:** (208) 267-2604
- **Mailing address fax:** (208) 267-9408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 1500244 | ID | Yes |

## Other

- **Enumeration date:** 03/16/2007
- **Last updated:** 11/08/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 002645200 | — | ID |
| 01 | — | 590161331 | PALMETTO GBA - RAILROAD | ID |
| 01 | — | E0443 | BLUE CROSS OF IDAHO | ID |