Active NPI
Oak Valley Hospital District
Doing business as Oak Valley District Hospital Ambulance
- Land Ambulance
- Oakdale, CA
National Provider Identifier
1417102716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 030000069
- Legal business name
- OAK VALLEY HOSPITAL DISTRICT
- Doing business as
- Oak Valley District Hospital Ambulance
- Practice address
- 350 S Oak Ave
Oakdale, CA 95361-3519 - Phone
- (209) 847-3011
- Fax
- (209) 848-7008
- NPI assigned
- Dec 1, 2008
- Organization subpart
- Yes
- Parent organization
- OAK VALLEY HOSPITAL DISTRICT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ann Croskrey
- Title
- Chief Financial Officer
- Phone
- (209) 848-4104
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 030000069 | CA | Primary |
Addresses
Primary practice location
350 S Oak Ave
Oakdale, CA 95361-3519
Mailing address
350 S Oak Ave
Oakdale, CA 95361-3519
Phone (209) 847-3011
Other names 1
- OAK VALLEY DISTRICT HOSPITAL AMBULANCE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090305000184 | CA | Part B Supplier - Ambulance Service Supplier | 5496736613 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Oakdale, CA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Oak Valley District Hospital
- General Acute Care Hospital
- Oakdale, CA
- NPI 1346381415
O20090305000184
National Provider Directory
National Provider Directory- Part of
- Escalon Comm Health Clinic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608249600000",
"number": "1417102716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 S OAK AVE",
"city": "OAKDALE",
"state": "CA",
"postal_code": "953613519",
"telephone_number": "209-847-3011",
"fax_number": "209-848-7008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 S OAK AVE",
"city": "OAKDALE",
"state": "CA",
"postal_code": "953613519",
"telephone_number": "209-847-3011",
"fax_number": "209-848-7008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAK VALLEY HOSPITAL DISTRICT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OAK VALLEY HOSPITAL DISTRICT",
"enumeration_date": "2008-12-01",
"last_updated": "2020-12-18",
"certification_date": "2020-12-18",
"status": "A",
"authorized_official_last_name": "CROSKREY",
"authorized_official_first_name": "ANN",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "209-848-4104"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "CA",
"license": "030000069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "OAK VALLEY DISTRICT HOSPITAL AMBULANCE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "OAK VALLEY DISTRICT HOSPITAL AMBULANCE",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Oakdale, CA
- Hong Van Nguyen, PHARMD
- Brian Karl O'Bannon, PA-C, FNP
- Courtney O'Dell
- Oak Valley Hospital District
- Oak Valley Hospital District (Oak Valley District Hospital)
- Oak Valley Hospital District
- Oak Valley Hospital District (The Edge Occupational Medicine)
- Oak Valley Hospital District (Oakdale Community Health Center)
- Oak Valley Hospital District (Oak Valley Care Center)
- Oak Valley Otolaryngology Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.