Healthcare Provider Details

I. General information

NPI: 1891743571
Provider Name (Legal Business Name): FIRST RESPONDER EMERGENCY MEDICAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 02/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 HUSS DR STE. 100
CHICO CA
95928-8242
US

IV. Provider business mailing address

PO BOX 24
CHICO CA
95927-0024
US

V. Phone/Fax

Practice location:
  • Phone: 530-897-6345
  • Fax: 530-897-6347
Mailing address:
  • Phone: 530-897-6345
  • Fax: 530-897-6347

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License NumberLDMA380G
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License NumberA144
License Number StateCA

VIII. Authorized Official

Name: ROBERT HALL
Title or Position: GENERAL MANAGER
Credential:
Phone: 530-879-5512