Organization
EAST BOISE COUNTY AMBULANCE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA DILL EMT (DIRECTOR OF OPERTIONS)
(208) 392-6644
Entity
Organization
Contact information
Practice address
204 W. COMMERCIAL ST, IDAHO CITY, ID 83631
(208) 392-6644
(208) 392-6644
Mailing address
PO BOX 1300, IDAHO CITY, ID 83631-1300
(208) 392-6644
(208) 392-6644
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
5430
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002807600
—
ID
Enumeration date
05/15/2018
Last updated
05/15/2018
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