MEDICARE: CITY & COUNTY OF SAN FRANCISCO

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

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	:	1376600965
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY & COUNTY OF SAN FRANCISCO

Provider Business Mailing Address
First Line	:	PO BOX 7120
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94120-7120
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	698 2ND ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94107-2015
Country	:	US
Telephone Number	:	415-558-3417
Fax Number	:

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	MARK CORSO
Credential	:
Telephone Number	:	415-558-3417

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	07/24/2012

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Directions to “CITY & COUNTY OF SAN FRANCISCO ” Practice Location

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