Organization
WESTSIDE COMMUNITY HEALTHCARE DISTRICT
Active
Other names
West Side Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS JOHN BRAZIL (PRESIDENT/BOARD CHAIRMAN)
(209) 862-2951
Entity
Organization
Contact information
Practice address
151 HIGHWAY 33, NEWMAN, CA 95360-9603
(209) 862-2951
Mailing address
PO BOX 269110, SACRAMENTO, CA 95826-9110
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTE00263F
—
CA
Enumeration date
07/28/2005
Last updated
06/06/2019
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