Organization
OLANCHA COMMUNITY SERVICE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORIE VERKUYL (BILLING AGENT)
(760) 375-3776
Entity
Organization
Contact information
Practice address
610 SHOP ST, OLANCHA, CA 93549
(760) 764-2370
Mailing address
PO BOX 64, OLANCHA, CA 93549-0064
(760) 764-2370
(760) 375-3746
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTE00957F
—
CA
Enumeration date
10/13/2005
Last updated
05/02/2018
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