MORONGO BASIN AMBULANCE ASSN., INC. (NPI# 1164499877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164499877 |
Entity Type | Organization |
Organization Name | MORONGO BASIN AMBULANCE ASSN., INC. |
Other Organization Name | MORONGO BASIN AMBULANCE |
Practice Address |
6335 Park Blvd Joshua Tree CA 92252-2370 |
Mailing Address |
Po Box 460 6335 Park Blvd. Joshua Tree CA 92252-0460 |
Practice Telephone | 7603668474 |
Practice Fax Number | 7603668560 |
Mailing Telephone | 7603668474 |
Mailing Fax Number | 7603668560 |
Enumeration Date | 2006-03-01 |
Last Update Date | 2012-05-15 |
Authorized Official Name | RAMON LOMELI (GENERAL MANAGER) |
Authorized Official Telephone | 7603668474 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
1797 | CA | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | ZZZ32958Z | 05 |
Other Name | Type Code |
---|---|
Morongo Basin Ambulance | Doing Business As Name - Organization |
Street Address |
6335 PARK BLVD |
City | JOSHUA TREE |
State | CA |
Zip Code | 92252-2370 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609405992 | Micheline Helou | Nurse Practitioner | 63532 Twentynine Palms Highway, Joshua Tree, CA 92252 | 2020-04-07 |
1821558164 | Lisa Brown | Nurse Practitioner | 63532 29 Palms Hwy., Suite C, Joshua Tree, CA 92252 | 2019-03-22 |
1861990053 | Candice Amber Packard | Marriage & Family Therapist | 60805 29 Palms Hwy, Joshua Tree, CA 92252 | 2018-01-23 |
1194195529 | Jacob Edward Sanchez | Counselor | 60805 Twentynine Palms Hwy., Joshua Tree, CA 92252 | 2015-09-28 |
1023404357 | American Health Services LLC | Substance Abuse Rehabilitation Facility | 65675 Sullivan Rd., Joshua Tree, CA 92252 | 2015-04-14 |
1699940486 | Lee, Wee &baek. Dds. Inc | Clinic/Center | 61325 29palms Hwy.ste.a, Joshua Tree, CA 92252 | 2008-04-23 |
1447420690 | County of San Bernardino | Public Health or Welfare | 63532 29 Palms Highway, Suite D, Joshua Tree, CA 92252 | 2008-03-04 |
1861671679 | Lisa L Surace | Marriage & Family Therapist | 63532 Twentynine Palms Hwy, Suite C, Joshua Tree, CA 92252 | 2007-10-29 |
1821285271 | Morongo Basin Mental Health Services Ass., Inc | Substance Abuse Rehabilitation Facility | 65675 Sullivan Rd, Joshua Tree, CA 92252 | 2007-10-01 |
1295872067 | Angel View Crippled Childrens Foundation Inc | Intermediate Care Facility, Mentally Retarded | 60950 Sunburst, Joshua Tree, CA 92252 | 2007-01-31 |
Find all providers in zip 92252 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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1548727886 | The Medics Plus Inc. | Ambulance | 2122 College Ave, Modesto, CA 95350-3044 | 2019-02-22 |
Find all providers with the same taxonomy |
City | JOSHUA TREE |
Zip Code | 92252 |
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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.