| Organization Name: | SIERRA AMBULANCE SERVICE INC. |
| NPI Number: | 1225011216 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDWARD GUZMAN (GENERAL MANAGER) |
| Mailing Address: | 40755 Winding Way Oakhurst |
| State: | CA US |
| Postal Code: | 936449439 |
| Phone Number: | 5596420650 |
| Fax Number: | 5596837200 |
| NPI Enumeration Date: | 11/22/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 117510-7266 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |