Organization
ANTELOPE AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS RICHARD CAIN (CORPORATE SECRETARY)
(661) 951-1998
Entity
Organization
Contact information
Practice address
42540 N. 6TH STREET EAST, LANCASTER, CA 93535-5202
(661) 951-1998
(661) 951-1188
Mailing address
P.O. BOX 5480, LANCASTER, CA 93539-5480
(661) 951-1998
(661) 951-1188
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1834
CA
3416L0300X
Land Ambulance
1834
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTE00972F
—
CA
Enumeration date
06/29/2005
Last updated
02/01/2018
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