Organization
CALIFORNIA SHOCK TRAUMA AIR RESCUE
Active
Other names
CALSTAR
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH F COOK (PRESIDENT & CEO)
(916) 921-4000
Entity
Organization
Contact information
Practice address
4933 BAILEY LOOP, MCCLELLAN, CA 95652
(916) 921-4075
(916) 921-4079
Mailing address
4933 BAILEY LOOP, MCCLELLAN, CA 95652
(916) 921-4075
(916) 921-4079
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
STRA2901
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTA00592F
—
CA
Enumeration date
11/01/2006
Last updated
02/07/2008
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