Organization
HUGHSON PARAMEDIC AMBULANCE COMPANY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS CROWDER (CEO)
(209) 883-9177
Entity
Organization
Contact information
Practice address
2419 CHARLES STREET, HUGHSON, CA 95326-1719
(209) 883-9177
(209) 883-4178
Mailing address
PO BOX 1719, HUGHSON, CA 95326-1719
(209) 883-9177
(209) 883-4178
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
103418
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183594700
DEPARTMENT OF LABOR
CA
01
—
590005707
RAIL ROAD MEDICARE
CA
05
—
MTE00460F
—
CA
01
—
ZZZ25308Z
BLUE SHIELD
CA
Enumeration date
10/11/2006
Last updated
04/29/2010
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