Provider Demographics
NPI:1689724304
Name:MEEKS BAY
Entity Type:Organization
Organization Name:MEEKS BAY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:PANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-525-7548
Mailing Address - Street 1:PO BOX 189
Mailing Address - Street 2:
Mailing Address - City:TAHOMA
Mailing Address - State:CA
Mailing Address - Zip Code:96142-0137
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8041 EMERALD BAY ROAD
Practice Address - Street 2:
Practice Address - City:TAHOMA
Practice Address - State:CA
Practice Address - Zip Code:96142-0137
Practice Address - Country:US
Practice Address - Phone:530-525-7548
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance