Provider Demographics
NPI:1063241867
Name:COUNTY MEDICAL RESPONSE LLC
Entity type:Organization
Organization Name:COUNTY MEDICAL RESPONSE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ULISES
Authorized Official - Middle Name:
Authorized Official - Last Name:TEYES
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:530-713-6631
Mailing Address - Street 1:10149 TULIP AVE
Mailing Address - Street 2:
Mailing Address - City:LIVE OAK
Mailing Address - State:CA
Mailing Address - Zip Code:95953-2385
Mailing Address - Country:US
Mailing Address - Phone:530-713-6631
Mailing Address - Fax:
Practice Address - Street 1:2191 SANBORN RD
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993-9256
Practice Address - Country:US
Practice Address - Phone:530-713-6631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)