# ESCALON COMMUNITY AMBULANCE INC

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

## Provider details

- **NPI number:** 1134478852
- **Authorized official:** BOB PETERSON M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (209) 838-3264

## Contact information

- **Practice address:** 1480 ULLREY AVE, ESCALON, CA 95320-8612
- **Practice address phone:** (209) 838-3264
- **Mailing address:** 1480 ULLREY AVE, ESCALON, CA 95320-8612
- **Mailing address phone:** (209) 838-3264

## Taxonomy

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

## Other

- **Enumeration date:** 09/10/2012
- **Last updated:** 09/10/2012