Darrell Eugene Frost Dba Northern Siskiyou Ambulance Service

Primary specialty

AmbulanceTaxonomy code 341600000X

License

101765 Issued in CA

Legal business name

DARRELL EUGENE FROST DBA NORTHERN SISKIYOU AMBULANCE SERVICE

Practice address

553 N Main St
Yreka, CA 96097-2524

Phone

(530) 842-3583

Fax

(530) 842-6672

NPI assigned

Jan 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Darrell Frost, MICP

Title

Owner

Phone

(530) 842-3583

Specialties & licenses 2

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1790839702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960970850",
            "telephone_number": "530-842-3583",
            "fax_number": "530-842-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 N MAIN ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960972524",
            "telephone_number": "530-842-3583",
            "fax_number": "530-842-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARRELL EUGENE FROST DBA NORTHERN SISKIYOU AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "FROST",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-842-3583",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MICP"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CA",
            "license": "101765",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "101765",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE00243F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTN00777F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Yreka, CA
• Providers in Yreka, CA by specialty
• Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.