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Organization

DARRELL EUGENE FROST DBA NORTHERN SISKIYOU AMBULANCE SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DARRELL FROST MICP (OWNER)
(530) 842-3583
Entity
Organization

Contact information

Practice address
553 N MAIN ST, YREKA, CA 96097-2524
(530) 842-3583
(530) 842-6672
Mailing address
PO BOX 850, YREKA, CA 96097-0850
(530) 842-3583
(530) 842-6672

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
101765
CA
343900000X
Non-emergency Medical Transport (VAN)
101765
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MTE00243F
CA
05
MTN00777F
CA
Enumeration date
01/23/2007
Last updated
06/30/2008
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