MEDICARE: RAMONA MUNICIPAL WATER DISTRICT

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	3416L0300X	Land 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
2	590001180	OTHER		RRB

General Provider Information

NPI Number	:	1659371250
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAMONA MUNICIPAL WATER DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 269110
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95826-9110
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	105 EARLHAM ST
Second Line	:
City	:	RAMONA
State	:	CA
Zip	:	92065-1558
Country	:	US
Telephone Number	:	760-788-2250
Fax Number	:

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	MIKE VOGT
Credential	:
Telephone Number	:	760-788-2250

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	07/20/2011

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Directions to “RAMONA MUNICIPAL WATER DISTRICT ” Practice Location

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