Provider Demographics
NPI:1225011216
Name:SIERRA AMBULANCE SERVICE INC.
Entity Type:Organization
Organization Name:SIERRA AMBULANCE SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:D
Authorized Official - Last Name:SUNDSTROM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-475-9821
Mailing Address - Street 1:PO BOX 2307
Mailing Address - Street 2:
Mailing Address - City:OAKHURST
Mailing Address - State:CA
Mailing Address - Zip Code:93644-2307
Mailing Address - Country:US
Mailing Address - Phone:559-642-0650
Mailing Address - Fax:559-683-7200
Practice Address - Street 1:40755 WINDING WAY
Practice Address - Street 2:
Practice Address - City:OAKHURST
Practice Address - State:CA
Practice Address - Zip Code:93644-9439
Practice Address - Country:US
Practice Address - Phone:559-642-0650
Practice Address - Fax:559-683-7200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-22
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA117510-72663416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport