Organization
MEDIC AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HELEN FRANCES PIERSON (CFO)
(916) 564-9040
Entity
Organization
Contact information
Practice address
506 COUCH ST, VALLEJO, CA 94590
(707) 644-1771
(707) 644-1784
Mailing address
1001 TEXAS ST STE C, FAIRFIELD, CA 94533-5723
(916) 564-9040
(916) 564-9095
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTE00865F
—
CA
05
—
ZZZ81763Z
—
CA
Enumeration date
07/10/2006
Last updated
08/21/2019
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