# TOWN OF CORTE MADERA

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

## Provider details

- **NPI number:** 1982760948
- **Authorized official:** RUBEN MARTIN (FIRE CHIEF)
- **Authorized official phone:** (415) 927-5077

## Contact information

- **Practice address:** 342 TAMALPAIS DR, CORTE MADERA, CA 94925-1492
- **Practice address phone:** (415) 927-5077
- **Mailing address:** P.O. BOX 80146, CITY OF INDUSTRY, CA 91716
- **Mailing address phone:** (415) 878-2642

## Taxonomy

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

## Other

- **Enumeration date:** 12/27/2006
- **Last updated:** 09/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | MTE00978F | — | CA |