# WEST SHORE AMBULANCE SERVICE, INC

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

## Provider details

- **NPI number:** 1750442190
- **Authorized official:** MS. MARCIA MCKINNEY (OFFICE MANAGER)
- **Authorized official phone:** (760) 395-6800

## Contact information

- **Practice address:** 83 DESERT SHORES DR, THERMAL, CA 92274-7196
- **Practice address phone:** (760) 395-6800
- **Practice address fax:** (760) 395-5070
- **Mailing address:** 83 DESERT SHORES DR, THERMAL, CA 92274-7196
- **Mailing address phone:** (760) 395-6800
- **Mailing address fax:** (760) 395-5070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 1565 | CA | Yes |

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 124300 | — | AZ |
| 05 | — | MTE00146F | — | CA |