Hoopa Ambulance

LBN: Kimaiw Med Cntr
Hoopa Ambulance is an health care organization with primary practice located at 1200 Airport Road , Hoopa CA 95546. The organization recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Paramedic, Emergency Medical Service Providers / Emergency Medical Technician, Basic. Emergency Medical Service Providers / Emergency Medical Technician, Basic is the primary health care specialty. Kimaiw Med Cntr can be contacted via phone (530) 625-4261, or through Chase, Emmett via phone (530) 625-4261.

Contact Information

Primary practice address
1200 Airport Road Hoopa CA 95546
Phone: (530) 625-4261
Fax: (530) 625-4842
Website:
Map and Directions
Authorized official contact:
Name: Chase, Emmett Doctor of Medicine (MD)
Phone: (530) 625-4261

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Paramedic 146L00000X California
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X California

Profile Details

NPI number 1770572182
LBN Legal business name Kimaiw Med Cntr
DBA Doing business as Hoopa Ambulance
Authorized official Chase, Emmett Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2005
Last updated Jan 21st, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770572182 NPPES
California MEDICAID 804242

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