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Organization
COVELO AMBULANCE SERVICE
Active
Organization
COVELO AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BAKER (FIRE CHIEF)
(707) 272-3099
Entity
Organization
Contact information
Practice address
79500 COVELO RD, COVELO, CA 95428
(707) 272-3099
Mailing address
PO BOX 36, COVELO, CA 95428-0036
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00020014
RRB
—
05
—
ZZZ37505Z
—
CA
Enumeration date
04/17/2007
Last updated
10/18/2007
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