Organization
CITY OF SANTA ROSA
Active
Other names
Santa Rosa Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN ORTIZ (EMS CLERK)
(575) 472-0367
Entity
Organization
Contact information
Practice address
141 S 5TH ST, SANTA ROSA, NM 88435-2369
(505) 472-3404
Mailing address
PO BOX 18230, PITTSBURGH, PA 15236-0230
(505) 472-3404
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
PRC13478
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R0852
—
NM
Enumeration date
08/25/2005
Last updated
11/03/2022
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