Organization
ANDERSON VALLEY AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARTHUR M HATCHER (GENERAL MANAGER)
(707) 895-3123
Entity
Organization
Contact information
Practice address
13500 AIRPORT RD, BOONVILLE, CA 95415-9133
(707) 895-3123
(707) 895-2963
Mailing address
PO BOX 144, BOONVILLE, CA 95415
(707) 895-3123
(707) 895-2963
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
A142
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ30629Z
—
CA
Enumeration date
01/25/2007
Last updated
02/06/2014
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