Avenal Healthcare District
Organization Active NPI Land Ambulance · Avenal, CA
NPI 1497755334 · NPPES record last updated Sep 14, 2007
Key facts
- NPI
- 1497755334
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- AVENAL HEALTHCARE DISTRICT
- Practice address
- 317 E Alpine St
Avenal, CA 93204-1019 - Phone
- (559) 386-2211
- NPI assigned
- Jul 21, 2005
- Organization subpart
- No
Authorized official
- Name
- Ken Brown
- Title
- Board Chairman
- Phone
- (559) 386-2211
National Provider Directory
Locations
317 E Alpine St
Avenal, CA 93204
Phone (559) 386-2211
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
317 E Alpine St
Avenal, CA 93204-1019
Mailing address
PO Box 269110
Sacramento, CA 95826-9110
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MTE00294F | Medicaid | CA |
Other providers in Avenal, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.