Provider Demographics
NPI:1982829792
Name:NAPA AMBULANCE SERVICE INC
Entity Type:Organization
Organization Name:NAPA AMBULANCE SERVICE INC
Other - Org Name:PINER'S NAPA AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:WENDELL
Authorized Official - Last Name:PINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-224-3123
Mailing Address - Street 1:1820 PUEBLO AVE
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-4751
Mailing Address - Country:US
Mailing Address - Phone:707-224-3123
Mailing Address - Fax:707-255-0332
Practice Address - Street 1:1820 PUEBLO AVE
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-4751
Practice Address - Country:US
Practice Address - Phone:707-224-3123
Practice Address - Fax:707-255-0332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18088674341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ30999ZMedicaid
CAZZZ30999ZMedicaid