Organization
COUNTY OF PLACER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM H COLES MAC CCJS RAS (CSA II)
(916) 787-8929
Entity
Organization
Contact information
Practice address
7248 SYLVAN GROVE WAY # B, CITRUS HEIGHTS, CA 95610-2933
(916) 801-9566
Mailing address
7248 SYLVAN GROVE WAY # B, CITRUS HEIGHTS, CA 95610-2933
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/16/2007
Last updated
08/22/2020
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