Provider Demographics
NPI:1427342930
Name:US DEPT OF THE INTERIOR NATIONAL PARK SERVICE
Entity type:Organization
Organization Name:US DEPT OF THE INTERIOR NATIONAL PARK SERVICE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEALTH SYSTEM ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PATTAMA
Authorized Official - Middle Name:
Authorized Official - Last Name:ULRICH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:209-372-0814
Mailing Address - Street 1:PO BOX 550
Mailing Address - Street 2:
Mailing Address - City:YOSEMITE NATIONAL PARK
Mailing Address - State:CA
Mailing Address - Zip Code:95389-0550
Mailing Address - Country:US
Mailing Address - Phone:209-372-4637
Mailing Address - Fax:209-372-4330
Practice Address - Street 1:9000 AHWAHNEE DRIVE
Practice Address - Street 2:ATTN: R MADRID
Practice Address - City:YOSEMITE NATIONAL PARK
Practice Address - State:CA
Practice Address - Zip Code:95389
Practice Address - Country:US
Practice Address - Phone:209-372-4637
Practice Address - Fax:209-372-4330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-01
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care