# PISTORESI AMBULANCE SERVICE OF MADERA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pistoresi Ambulance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831248038
- **Authorized official:** TED PISTORESI (OPERATIONS MANAGER)
- **Authorized official phone:** (559) 673-8004

## Contact information

- **Practice address:** 113 N R ST, MADERA, CA 93637-4465
- **Practice address phone:** (559) 673-8004
- **Practice address fax:** (559) 673-4699
- **Mailing address:** 113 N R ST, MADERA, CA 93637-4465
- **Mailing address phone:** (559) 673-8004
- **Mailing address fax:** (559) 673-4699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 31859085 | CA | Yes |

## Other

- **Enumeration date:** 01/09/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | MTE00883F | — | CA |