Provider Demographics
NPI:1659383719
Name:HALL AMBULANCE SERVICE INC
Entity Type:Organization
Organization Name:HALL AMBULANCE SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACQUALINE
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:ATT
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:661-322-1625
Mailing Address - Street 1:1001 21ST ST.
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-4792
Mailing Address - Country:US
Mailing Address - Phone:661-334-5419
Mailing Address - Fax:661-322-4303
Practice Address - Street 1:1001 21ST ST.
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-4792
Practice Address - Country:US
Practice Address - Phone:661-322-8741
Practice Address - Fax:661-334-1541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA222489192Medicaid
CA222489192Medicaid