Organization
DEL PUERTO HEALTH CARE DISTRICT
Active
Other names
Patterson District Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL WILLETTE (DIRECTOR OF AMBULANCE OPERATIONS)
(209) 892-2618
Entity
Organization
Contact information
Practice address
875 E ST, PATTERSON, CA 95363-2670
(209) 892-2618
(209) 892-3755
Mailing address
PO BOX 187, PATTERSON, CA 95363-0187
(209) 892-2618
(209) 892-3755
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59002282
MEDICARE UNION PACIFIC
—
05
—
MTE00216F
—
CA
Enumeration date
10/13/2006
Last updated
09/02/2015
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