MEDICARE: RUNNING SPRINGS 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

General Provider Information

NPI Number	:	1902939390
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RUNNING SPRINGS WATER DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 2206
Second Line	:	31250 HILLTOP BLVD
City	:	RUNNING SPRINGS
State	:	CA
Zip	:	92382-2206
Country	:	US
Telephone Number	:	909-867-2630
Fax Number	:	909-867-5456

Provider Business Practice Location Address
First Line	:	31250 HILLTOP BLVD
Second Line	:
City	:	RUNNING SPRINGS
State	:	CA
Zip	:	92382-2206
Country	:	US
Telephone Number	:	909-867-2630
Fax Number	:	909-867-5456

Authorized Official
Title or Position	:	ADMINISTRATIVE ASSISTANT
Name	:	DIXI WILLEMSE
Credential	:
Telephone Number	:	909-867-2630

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	08/22/2020

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Directions to “RUNNING SPRINGS WATER DISTRICT ” Practice Location

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