Healthcare Provider Details

I. General information

NPI: 1861457905
Provider Name (Legal Business Name): CARMEL CARMEL VALLEY BIG SUR AMBULANCE AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8455 CARMEL VALLEY ROAD
CARMEL CA
93923
US

IV. Provider business mailing address

8455 CARMEL VALLEY ROAD
CARMEL CA
93923
US

V. Phone/Fax

Practice location:
  • Phone: 831-624-7881
  • Fax: 831-625-2941
Mailing address:
  • Phone: 831-624-7881
  • Fax: 831-625-2941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SIDNEY R READE
Title or Position: FIRE CHIEF
Credential:
Phone: 831-624-5907