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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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