Organization
AMERICAN LEGION POST NO. 108 AMBULANCE SERVICE
Active
Organization
AMERICAN LEGION POST NO. 108 AMBULANCE SERVICE
Active
Other names
American Legion Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE TYER (PRESIDENT, CEO)
(209) 223-2963
Entity
Organization
Contact information
Practice address
11350 AMERICAN LEGION DR, JACKSON, CA 95642-9764
(209) 223-2963
(209) 267-5463
Mailing address
11350 AMERICAN LEGION DR, JACKSON, CA 95642-9764
(209) 223-2963
(209) 267-5463
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590480356
RRB
CA
05
—
MTE00749F
—
CA
Enumeration date
07/28/2005
Last updated
05/19/2026
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