MEDSTAR AMBULANCE OF MENDOCINO COUNTY INC NPI 1518236876

NPI Information

MEDSTAR AMBULANCE OF MENDOCINO COUNTY INC is a land transport ambulance in Ukiah, CA. MEDSTAR AMBULANCE OF MENDOCINO COUNTY INC NPI is 1518236876. The provider is registered as an organization entity type.

The provider's business location address is:

130 FORD ST
UKIAH, CA
ZIP 95482-012
Phone: (707) 462-3808
Fax: (707) 462-9567

The provider's authorized official is Leonard William Winter .
The authorized official title is Chief Executive Officer and has the following contact phone number (707) 462-3808.

The CLIA number assigned to this NPI record is 05D2064253 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/15/2011 and was last updated on 12/15/2011.

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:

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