# NORCAL AMBULANCE, LLC

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

## Provider details

- **NPI number:** 1558501890
- **Authorized official:** HEIDI RUNYON (FINANCE DIRECTOR)
- **Authorized official phone:** (707) 665-4284

## Contact information

- **Practice address:** 720 PORTAL ST, COTATI, CA 94931-3060
- **Practice address phone:** (707) 665-4284
- **Practice address fax:** (707) 585-6341
- **Mailing address:** PO BOX 3108, ROHNERT PARK, CA 94927-3108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 200819710203 | CA | Yes |

## Other

- **Enumeration date:** 02/26/2009
- **Last updated:** 02/26/2009