Provider Demographics
NPI:1538686456
Name:ELK COMMUNITY SERVICES DISTRICT
Entity Type:Organization
Organization Name:ELK COMMUNITY SERVICES DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MACMILLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-877-1776
Mailing Address - Street 1:PO BOX 1
Mailing Address - Street 2:
Mailing Address - City:ELK
Mailing Address - State:CA
Mailing Address - Zip Code:95432-0001
Mailing Address - Country:US
Mailing Address - Phone:707-877-1800
Mailing Address - Fax:
Practice Address - Street 1:6129 S HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:ELK
Practice Address - State:CA
Practice Address - Zip Code:95432
Practice Address - Country:US
Practice Address - Phone:707-877-3350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-23
Last Update Date:2017-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport