| NPI | 1740251925 |
|---|---|
| Doing Business As | ADA-BOI CRITICAL CARE TRANSPORT SERVICE |
| Entity Type | Organization |
| Authorized Contact | KATHIE S FOGG Office Manager 208-362-2973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance (Licence: ID 8405) |
| Additional Taxonomies | 3416L0300X Ambulance Land Transport (Licence: ID 8405) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2008-05-20 |