Organization
TOWN OF CORTE MADERA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBEN MARTIN (FIRE CHIEF)
(415) 927-5077
Entity
Organization
Contact information
Practice address
342 TAMALPAIS DR, CORTE MADERA, CA 94925-1492
(415) 927-5077
Mailing address
P.O. BOX 80146, CITY OF INDUSTRY, CA 91716
(415) 878-2642
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTE00978F
—
CA
Enumeration date
12/27/2006
Last updated
09/07/2023
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