Organization
COUNTY OF TUOLUMNE
Active
Organization
COUNTY OF TUOLUMNE
Active
Other names
Tuolumne County Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GERALDINE ANN RAINS (FISCAL SUPERVISOR)
(209) 533-7368
Entity
Organization
Contact information
Practice address
18440 STRIKER CT, SONORA, CA 95370-7555
(209) 533-7368
(209) 533-5726
Mailing address
PO BOX 5024, 18440 STRIKER COURT, SONORA, CA 95370-5024
(209) 533-7368
(209) 533-5726
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590004033
RAILROAD MEDICARE
CA
01
—
CGP133315
CALIF. CHILDRENS SERVICES
CA
05
—
MTE00259F
—
CA
Enumeration date
07/20/2005
Last updated
12/10/2012
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