Organization
AMERICAN MEDICAL TRANSPORT INC.
Active
Other names
Central Coast Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HILDA CHELSTOWSKI (PRESIDENT)
(831) 685-3201
Entity
Organization
Contact information
Practice address
600 E BEL MAR DR, LA SELVA BEACH, CA 95076-6400
(831) 685-3201
(831) 633-5263
Mailing address
PO BOX 1244, APTOS, CA 95012
(831) 685-3201
(831) 633-5263
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16119I
PACIFICARE
CA
01
—
590014697
RAILROAD MEDICARE
CA
05
—
MTE01001F
—
CA
01
—
ZZZ06390Z
BLUE SHIELD
CA
Enumeration date
07/14/2005
Last updated
07/21/2022
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