Healthcare Provider Details

I. General information

NPI: 1952475493
Provider Name (Legal Business Name): NAPA COUNTY COMMUNITY AMBULANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 04/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 COLLEGE AVE
ANGWIN CA
94508
US

IV. Provider business mailing address

PO BOX 947
ANGWIN CA
94508-6047
US

V. Phone/Fax

Practice location:
  • Phone: 707-965-2468
  • Fax:
Mailing address:
  • Phone: 707-965-9110
  • Fax: 707-965-9117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: DENNIS ELKINS
Title or Position: CFO
Credential:
Phone: 707-965-2468