Organization
CITY OF PETALUMA AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS ALBERTSON (FIRE CHIEF)
(707) 778-4364
Entity
Organization
Contact information
Practice address
198 D ST, PETALUMA, CA 94952-3028
(707) 778-4364
Mailing address
11 ENGLISH ST STE 1, PETALUMA, CA 94952-2610
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
756590183
RRB
—
05
—
ZZZ31259Z
—
CA
Enumeration date
07/20/2005
Last updated
06/01/2011
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