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Organization

ARCATA-MAD RIVER AMBULANCE LLC

Active
Parent organization
ARCATA-MAD RIVER AMBULANCE LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ARCATA-MAD RIVER AMBULANCE LLC
Authorized official
TIMOTHY JOSEPH DORN (CHIEF ADMINISTRATIVE OFFICER)
(833) 703-2294
Entity
Organization

Contact information

Practice address
220 F ST, ARCATA, CA 95521-6616
(707) 822-3353
(707) 822-9628
Mailing address
PO BOX 742464, LOS ANGELES, CA 90074-2464
(800) 913-9106

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
3416L0300X
Land Ambulance
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1114430998
CA
05
2105498
WA
05
500763575
OR
Enumeration date
11/15/2017
Last updated
09/15/2025
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