Provider Demographics
NPI:1861457905
Name:CARMEL CARMEL VALLEY BIG SUR AMBULANCE AUTHORITY
Entity Type:Organization
Organization Name:CARMEL CARMEL VALLEY BIG SUR AMBULANCE AUTHORITY
Other - Org Name:CARMEL REGIONAL FIRE AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:SIDNEY
Authorized Official - Middle Name:R
Authorized Official - Last Name:READE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-624-5907
Mailing Address - Street 1:8455 CARMEL VALLEY ROAD
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:CA
Mailing Address - Zip Code:93923
Mailing Address - Country:US
Mailing Address - Phone:831-624-7881
Mailing Address - Fax:831-625-2941
Practice Address - Street 1:8455 CARMEL VALLEY ROAD
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:CA
Practice Address - Zip Code:93923
Practice Address - Country:US
Practice Address - Phone:831-624-7881
Practice Address - Fax:831-625-2941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMTE00464FMedicaid
CAMTE00464FMedicaid
CAZZZ26192ZMedicare ID - Type Unspecified