# COVELO AMBULANCE SERVICE

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

## Provider details

- **NPI number:** 1174748784
- **Authorized official:** WILLIAM BAKER (FIRE CHIEF)
- **Authorized official phone:** (707) 272-3099

## Contact information

- **Practice address:** 79500 COVELO RD, COVELO, CA 95428
- **Practice address phone:** (707) 272-3099
- **Mailing address:** PO BOX 36, COVELO, CA 95428-0036

## Taxonomy

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

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 10/18/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | P00020014 | RRB | — |
| 05 | — | ZZZ37505Z | — | CA |