# ANTELOPE AMBULANCE SERVICE

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

## Provider details

- **NPI number:** 1326045949
- **Authorized official:** MR. DOUGLAS RICHARD CAIN (CORPORATE SECRETARY)
- **Authorized official phone:** (661) 951-1998

## Contact information

- **Practice address:** 42540 N. 6TH STREET EAST, LANCASTER, CA 93535-5202
- **Practice address phone:** (661) 951-1998
- **Practice address fax:** (661) 951-1188
- **Mailing address:** P.O. BOX 5480, LANCASTER, CA 93539-5480
- **Mailing address phone:** (661) 951-1998
- **Mailing address fax:** (661) 951-1188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 1834 | CA | Yes |
| 3416L0300X | Land Ambulance | 1834 | CA | — |

## Other

- **Enumeration date:** 06/29/2005
- **Last updated:** 02/01/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | MTE00972F | — | CA |