MEDICARE: FIRST RESPONDER EMS-SACRAMENTO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance	1776	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	590012441	OTHER	CA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942241310
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST RESPONDER EMS-SACRAMENTO

Provider Business Mailing Address
First Line	:	PO BOX 24
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95927-0024
Country	:	US
Telephone Number	:	530-879-5512
Fax Number	:	530-897-6347

Provider Business Practice Location Address
First Line	:	10161 CROYDON WAY
Second Line	:	STE. 1
City	:	SACRAMENTO
State	:	CA
Zip	:	95827-2107
Country	:	US
Telephone Number	:	916-733-5100
Fax Number	:	916-363-6135

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	MR. ROBERT HALL
Credential	:
Telephone Number	:	530-879-5512

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	02/15/2008

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Directions to “FIRST RESPONDER EMS-SACRAMENTO ” Practice Location

Language	Start Address	Practice Location

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