Organization
AMERICAN MEDICAL RESPONSE WEST
Active
Other names
American Medical Response
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY JOSEPH DORN (CHIEF ADMINISTRATIVE OFFICER)
(833) 703-2294
Entity
Organization
Contact information
Practice address
4846 STRATOS WAY, MODESTO, CA 95356-9266
(209) 567-4030
(209) 576-1984
Mailing address
PO BOX 742464, LOS ANGELES, CA 90074-2464
(800) 913-9106
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578597803
—
CA
05
—
500638814
—
OR
Enumeration date
07/11/2006
Last updated
09/15/2025
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