Organization
DESERT AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELBERT W. MUNCY JR. (C.E.O.)
(760) 256-6854
Entity
Organization
Contact information
Practice address
831 W MAIN ST, BARSTOW, CA 92311-2649
(760) 256-6854
(760) 256-1954
Mailing address
831 W MAIN ST, BARSTOW, CA 92311-2649
(760) 256-6854
(760) 256-1954
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
A188
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ35889Z
—
CA
Enumeration date
11/06/2006
Last updated
03/06/2009
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