# MEDFLEET AMBULANCE SERVICE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003838046
- **Authorized official:** GREGORY LYDELL GIBSON (PRESIDENT CEO)
- **Authorized official phone:** (619) 222-2244

## Contact information

- **Practice address:** 9960 CAMPO RD, 105, SPRING VALLEY, CA 91977-1605
- **Practice address phone:** (619) 222-2244
- **Practice address fax:** (619) 222-2843
- **Mailing address:** 9960 CAMPO RD, 105, SPRING VALLEY, CA 91977-1605
- **Mailing address phone:** (619) 222-2244
- **Mailing address fax:** (619) 222-2843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 1867 | CA | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 03/20/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | MTE01176F | — | CA |