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
(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
04/20/2026
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