# ANDERSON VALLEY AMBULANCE SERVICE

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

## Provider details

- **NPI number:** 1326194317
- **Authorized official:** MR. ARTHUR M HATCHER (GENERAL MANAGER)
- **Authorized official phone:** (707) 895-3123

## Contact information

- **Practice address:** 13500 AIRPORT RD, BOONVILLE, CA 95415-9133
- **Practice address phone:** (707) 895-3123
- **Practice address fax:** (707) 895-2963
- **Mailing address:** PO BOX 144, BOONVILLE, CA 95415
- **Mailing address phone:** (707) 895-3123
- **Mailing address fax:** (707) 895-2963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | A142 | CA | Yes |

## Other

- **Enumeration date:** 01/25/2007
- **Last updated:** 02/06/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZZ30629Z | — | CA |