Provider Demographics
NPI:1265565956
Name:BELL'S HEALDSBURG AMBULANCE SERVICE INC.
Entity type:Organization
Organization Name:BELL'S HEALDSBURG AMBULANCE SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:BELL
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-433-1408
Mailing Address - Street 1:PO BOX 726
Mailing Address - Street 2:434 POWELL AVE.
Mailing Address - City:HEALDSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:95448-0726
Mailing Address - Country:US
Mailing Address - Phone:707-433-1408
Mailing Address - Fax:707-433-1461
Practice Address - Street 1:434 POWELL AVE
Practice Address - Street 2:
Practice Address - City:HEALDSBURG
Practice Address - State:CA
Practice Address - Zip Code:95448-3430
Practice Address - Country:US
Practice Address - Phone:707-433-1408
Practice Address - Fax:707-433-1461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ31263ZMedicaid
CAZZZ94090ZMedicare ID - Type Unspecified