# DEL PUERTO HEALTH CARE DISTRICT

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

## Provider details

- **NPI number:** 1841380763
- **Authorized official:** PAUL WILLETTE (DIRECTOR OF AMBULANCE OPERATIONS)
- **Authorized official phone:** (209) 892-2618

## Contact information

- **Practice address:** 875 E ST, PATTERSON, CA 95363-2670
- **Practice address phone:** (209) 892-2618
- **Practice address fax:** (209) 892-3755
- **Mailing address:** PO BOX 187, PATTERSON, CA 95363-0187
- **Mailing address phone:** (209) 892-2618
- **Mailing address fax:** (209) 892-3755

## Taxonomy

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

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 09/02/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 59002282 | MEDICARE UNION PACIFIC | — |
| 05 | — | MTE00216F | — | CA |