NPI 1700889987

County of Ada

Organisation Land Ambulance Boise, ID

Practice location

Address: 370 N. Benjamin Lane, Boise, ID 83704
Phone: (208) 287-2950
Fax: (208) 287-2999

Authorised official

Name: Troy M. Hagen
Title: Director
Phone: (208) 287-2965

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X Licence 8407 (ID)

Other Ambulance providers in Idaho →

Registry record

NPI: 1700889987
Entity type: Organization
NPI issued: 23 May 2005
Record last updated: 4 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.