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CLOVERDALE HOSPITAL DISTRICT AMBULANCE NPI 1295886786


NPI Profile

NPI: 1295886786
Provider Name: CLOVERDALE HOSPITAL DISTRICT AMBULANCE

Other Name: CLOVERDALE HEALTH CARE DISTRICT

Classification:Ambulance - 341600000X
Entity Type: Organization

CLIA Number: 05D2170904

Address:
209 N MAIN ST
CLOVERDALE, CA
ZIP 95425
Get Directions

Phone: (707) 894-5862

CLOVERDALE HOSPITAL DISTRICT AMBULANCE is an ambulance in Cloverdale, CA. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). CLOVERDALE HOSPITAL DISTRICT AMBULANCE NPI is 1295886786. The provider is registered as an organization entity type.
The provider Other Name Is Cloverdale Health Care District.

The provider's business location address is:

209 N MAIN ST
CLOVERDALE, CA
ZIP 95425-333
Phone: (707) 894-5862
Fax: (707) 894-9532

The provider's authorized official is Thomas K Hinrichs .
The authorized official title is Ceo and has the following contact phone number (707) 894-5862.

The CLIA number assigned to this NPI record is 05D2170904 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/13/2007 and was last updated on 9/23/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1341600000XAmbulanceYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ82638ZMEDICAIDCALIFORNIA
2ZZZ82638ZMEDICARE PINCALIFORNIA

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: 4/11/2021

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.