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Contact Information

OLANCHA COMMUNITY SERVICE DISTRICT
610 SHOP ST
OLANCHA, CA93549
 Phone: 760-764-2370
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for OLANCHA COMMUNITY SERVICE DISTRICT

NPI # 1326036203
LBN Legal business name OLANCHA COMMUNITY SERVICE DISTRICT
Authorized official LORIE VERKUYL - (BILLING AGENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/13/2005
Last updated 05/02/2018 - About 8 years ago
Identifiers
CA Medicaid MTE00957F
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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