San Andreas Ambulance

LBN: San Andreas Ambulance
San Andreas Ambulance is an health care organization with primary practice located at 660 St Charles St , San Andreas CA 95249. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. San Andreas Ambulance can be contacted via phone (209) 754-5701, or through Jones, Dale via phone (209) 754-5701.

Contact Information

Primary practice address
660 St Charles St San Andreas CA 95249
Phone: (209) 754-5701
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jones, Dale
Phone: (209) 754-5701

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X

Profile Details

NPI number 1669472023
LBN Legal business name San Andreas Ambulance
DBA Doing business as
Authorized official Jones, Dale
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2005
Last updated Sep 19th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669472023 NPPES
California MEDICAID MTE00123F

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