DARRELL EUGENE FROST DBA NORTHERN SISKIYOU AMBULANCE SERVICE


Address: 553 N Main St, Yreka, CA 96097-2524
Phone: 5308423583

DARRELL EUGENE FROST DBA NORTHERN SISKIYOU AMBULANCE SERVICE (NPI# 1790839702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790839702
Entity Type Organization
Organization Name DARRELL EUGENE FROST DBA NORTHERN SISKIYOU AMBULANCE SERVICE
Practice Address 553 N Main St
Yreka
CA 96097-2524
Mailing Address Po Box 850
Yreka
CA 96097-0850
Practice Telephone 5308423583
Practice Fax Number 5308426672
Mailing Telephone 5308423583
Mailing Fax Number 5308426672
Enumeration Date 2007-01-23
Last Update Date 2008-06-30
Authorized Official Name MR. DARRELL FROST (OWNER)
Authorized Official Telephone 5308423583
Authorized Official Credential MICP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 343900000X Non-emergency Medical Transport (VAN) 101765 CA Transportation Services
Y 341600000X Ambulance 101765 CA Transportation Services

Other Provider Identifier

State Issuer Identifier Type Code
CA MTN00777F 05
CA MTE00243F 05

Office Location

Street Address 553 N MAIN ST
City YREKA
State CA
Zip Code 96097-2524

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376830653 Paul William Willis Pharmacist 807 S. Main St., Yreka, CA 96097 2011-07-07
1578883864 Ginger A Bert Chiropractor 106 Ranch Ln Ste A, Yreka, CA 96097 2010-06-09
1669796611 Rebekah Joyce Retterath Dietitian, Registered 444 Bruce Street, Yreka, CA 96097 2010-03-19
1780849679 Donna Jean May Marriage & Family Therapist 625 Butte Street, Yreka, CA 96097 2008-07-21
1114121589 Loren Cronk Marriage & Family Therapist 208 4th Street, Yreka, CA 96097 2007-06-12
1093928863 Kristin Rene Kopplin Psychologist 1515 South Oregon Street, Suite A, Yreka, CA 96097 2007-05-08
1073735379 Rivkah Lynn Barmore Social Worker 1515 S Oregon, Suite A, Yreka, CA 96097 2007-05-03
1649492091 Randy Terry Murieen Social Worker 1515 S Oregon Street, Suite A, Yreka, CA 96097 2007-05-03
1265654537 Roy Victor Hall Jr. Social Worker 1515 South Oregon St, Suite A, Yreka, CA 96097 2007-05-03
1578785614 Meadowlark Assisted Living Facility 351 Bruce St, Yreka, CA 96097 2007-05-02
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Taxonomy Information

Taxonomy Code 341600000X
Grouping Transportation Services
Classification Ambulance

Taxonomy Definition

An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37.

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1942848031 American Canyon Fire Protection District Ambulance 911 Donaldson Way E, American Canyon, CA 94503-3191 2019-12-19
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1114577160 Go Green Ambulance Corp Ambulance 7111 Winnetka Ave Ste 6, Winnetka, CA 91306-3673 2019-09-11
1194373431 County of Los Angeles Ambulance 1320 N Eastern Ave, Los Angeles, CA 90063-3244 2019-08-29
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Competitor

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City YREKA
Zip Code 96097

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Dataset Information

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.

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