Organization Name: | AVENAL DISTRICT AMBULANCE SERVICE |
NPI Number: | 1558489609 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BLAYNE SANDERS (BOARD OF DIRECTORS) |
Mailing Address: | 709 N 3rd Ave Avenal |
State: | CA US |
Postal Code: | 932041054 |
Phone Number: | 5593862211 |
Fax Number: | 5593862212 |
NPI Enumeration Date: | 03/27/2007 |
NPI Last Update Date: | 04/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |