Healthcare Provider Details

I. General information

NPI: 1679568430
Provider Name (Legal Business Name): C H L EMS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2005
Last Update Date: 10/25/2021
Certification Date: 10/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2017 E NOBLE AVE
VISALIA CA
93292-1520
US

IV. Provider business mailing address

2017 E NOBLE AVE
VISALIA CA
93292-1520
US

V. Phone/Fax

Practice location:
  • Phone: 559-730-3015
  • Fax: 559-730-3020
Mailing address:
  • Phone: 559-730-3015
  • Fax: 559-730-3020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID L COOPER
Title or Position: PRESIDENT
Credential:
Phone: 559-730-3015