Provider Demographics
NPI:1942241310
Name:FIRST RESPONDER EMS-SACRAMENTO
Entity Type:Organization
Organization Name:FIRST RESPONDER EMS-SACRAMENTO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-879-5512
Mailing Address - Street 1:PO BOX 24
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95927-0024
Mailing Address - Country:US
Mailing Address - Phone:530-879-5512
Mailing Address - Fax:530-897-6347
Practice Address - Street 1:10161 CROYDON WAY
Practice Address - Street 2:STE. 1
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95827-2107
Practice Address - Country:US
Practice Address - Phone:916-733-5100
Practice Address - Fax:916-363-6135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1776341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMTE00990FMedicaid
CA590012441OtherRAILROAD MEDICARE
CA590012441OtherRAILROAD MEDICARE