SAN ANDREAS AMBULANCE NPI 1669472023

NPI Information

NPI: 1669472023
Provider Name: SAN ANDREAS AMBULANCE
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
660 ST CHARLES ST
SAN ANDREAS, CA
ZIP 95249
Phone: (209) 754-5701
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SAN ANDREAS AMBULANCE is a land transport ambulance in San Andreas, CA. SAN ANDREAS AMBULANCE NPI is 1669472023. The provider is registered as an organization entity type.

The provider's business location address is:

660 ST CHARLES ST
SAN ANDREAS, CA
ZIP 95249
Phone: (209) 754-5701

The provider's authorized official is Dale Jones .
The authorized official title is Owner and has the following contact phone number (209) 754-5701.

The enumeration date for this NPI number is 7/28/2005 and was last updated on 9/19/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MTE00123F	MEDICAID	CALIFORNIA
2	ZZZ91739Z	MEDICARE PIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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