Organization
KIMAIW MED CNTR
Active
Organization
KIMAIW MED CNTR
Active
Other names
Hoopa Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
EMMETT CHASE MD (CEO)
(530) 625-4261
Entity
Organization
Contact information
Practice address
1200 AIRPORT ROAD, HOOPA, CA 95546
(530) 625-4261
(530) 625-4842
Mailing address
2610 WALBERT AVE, ALLENTOWN, PA 18104-1852
(800) 473-2278
(610) 435-2278
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
—
CA
146N00000X
Basic Emergency Medical Technician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
804242
—
CA
Enumeration date
10/18/2005
Last updated
01/21/2009
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