MEDICARE: PISTORESI AMBULANCE SERVICE OF MADERA

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	31859085	CA

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	:	1831248038
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PISTORESI AMBULANCE SERVICE OF MADERA

Provider Business Mailing Address
First Line	:	113 N R ST
Second Line	:
City	:	MADERA
State	:	CA
Zip	:	93637-4465
Country	:	US
Telephone Number	:	559-673-8004
Fax Number	:	559-673-4699

Provider Business Practice Location Address
First Line	:	113 N R ST
Second Line	:
City	:	MADERA
State	:	CA
Zip	:	93637-4465
Country	:	US
Telephone Number	:	559-673-8004
Fax Number	:	559-673-4699

Authorized Official
Title or Position	:	OPERATIONS MANAGER
Name	:	TED PISTORESI
Credential	:
Telephone Number	:	559-673-8004

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	08/22/2020

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Directions to “PISTORESI AMBULANCE SERVICE OF MADERA ” Practice Location

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