Organization
MCCLOUD COMMUNITY SERVICES DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY COULTER (FINANCE OFFICER)
(530) 964-2017
Entity
Organization
Contact information
Practice address
220 W. MINNESOTA AVE, MCCLOUD, CA 96057
(530) 964-2017
(530) 964-3175
Mailing address
PO BOX 269110, SACRAMENTO, CA 95826-9110
(916) 669-4607
(916) 471-5107
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ74472Z
—
CA
Enumeration date
01/23/2007
Last updated
02/16/2012
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