Organization
ARCATA-MAD RIVER AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS J. BOILEAU PARAMEDIC (GENERAL MANAGER/ VICE PRESIDENT)
(707) 822-3353
Entity
Organization
Contact information
Practice address
220 F ST, ARCATA, CA 95521-6616
(707) 822-3353
(707) 822-9628
Mailing address
PO BOX 4948, ARCATA, CA 95518-4948
(707) 822-3353
(707) 822-9628
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
89727
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTE00164F
—
CA
Enumeration date
01/16/2006
Last updated
10/04/2011
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