CITY OF ETNA (NPI# 1124024070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124024070 |
| Entity Type | Organization |
| Organization Name | CITY OF ETNA |
| Other Organization Name | CITY OF ETNA AMBULANCE |
| Practice Address |
442 Main St Etna CA 96027 |
| Mailing Address |
Po Box 269110 Sacramento CA 95826-9110 |
| Practice Telephone | 5304673217 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2016-10-18 |
| Authorized Official Name | SARAH GRIGGS (CITY CLERK) |
| Authorized Official Telephone | 5304673217 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZZ35540Z | 05 | |
| RRB | 590480415 | 01 |
| Other Name | Type Code |
|---|---|
| City of Etna Ambulance | Doing Business As Name - Organization |
| Street Address |
442 MAIN ST |
| City | ETNA |
| State | CA |
| Zip Code | 96027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699163329 | Noah D Perlman | Chiropractor | 311 Collier Way, Suite 5, Etna, CA 96027 | 2015-01-05 |
| 1336330646 | Siskiyou Hospital Inc | Clinic/Center | 8 Commercial Street, Etna, CA 96027 | 2007-08-05 |
| 1134182348 | Michael William Willett | Family Medicine | 155 Diggles Street, Etna, CA 96027 | 2006-04-10 |
| 1538635065 | Savannah Lea Kenny | Family Medicine | 8 Commercial Street, Etna, CA 96027 | 2018-10-23 |
| 1588996060 | Kasia Nicole Mannix | Registered Nurse | 8 Commercial Street, Etna, CA 96027 | 2010-02-08 |
| 1093890956 | Lynda Pollard | Pharmacy Technician | 511 Main Street, Etna, CA 96027 | 2006-10-26 |
| 1174608582 | Gary Dean Pollard | Pharmacist | 511 Main Street, Etna, CA 96027 | 2006-10-25 |
| 1891876926 | Donald Dean Murphy | Pharmacist | 511 Main Street, Etna, CA 96027 | 2006-10-17 |
| 1780759779 | Lloyd Benton Coatney | Dentist | 450 Pig Alley, Etna, CA 96027-0160 | 2006-11-22 |
| 1558442681 | Scott Valley Pharmacy Inc | Pharmacy | 511 Main Street, Etna, CA 96027-0610 | 2006-10-17 |
| Find all providers in zip 96027 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043663 | Heena Parvez Merchant | Ambulance | Heena Parvez Merchant, 271 W Atara St, Monrovia, CA 91016-4716 | 2020-11-03 |
| 1629688197 | Sdmt Ambulance Services, LLC | Ambulance | 3275 Market St Ste 203, San Diego, CA 92102-3345 | 2020-08-08 |
| 1699398560 | Ridgecrest Regional Hospital | Ambulance | 350 E Ridgecrest Blvd Ste 107, Ridgecrest, CA 93555-3928 | 2020-05-26 |
| 1356960413 | City of Chula Vista | Ambulance | 447 F St, Chula Vista, CA 91910-3715 | 2020-04-09 |
| 1891331021 | Medevac Inc | Ambulance | 8025 Tone Lane, El Cajon, CA 92021 | 2019-11-22 |
| 1538705207 | Vital Care Ambulance Inc | Ambulance | 1480 Colorado Blvd Ste 135, Los Angeles, CA 90041-2373 | 2019-11-18 |
| 1609410125 | Luxcare Ambulance LLC | Ambulance | 1267 Willis St Ste 200, Redding, CA 96001-0400 | 2019-10-29 |
| 1114560984 | City of Ukiah | Ambulance | 1500 S State St, Ukiah, CA 95482-6709 | 2019-10-23 |
| 1487207452 | Xentro LLC | Ambulance | 2157 Hyacinth Dr, Oxnard, CA 93036-2338 | 2019-07-18 |
| 1548727886 | The Medics Plus Inc. | Ambulance | 2122 College Ave, Modesto, CA 95350-3044 | 2019-02-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CITY OF ETNA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.