TRINITY COUNTY LIFE SUPPORT NPI 1417013616

NPI Information

NPI: 1417013616
Provider Name: TRINITY COUNTY LIFE SUPPORT
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 05D0950191

Address:
610 WASHINGTON ST.
WEAVERVILLE, CA
ZIP 96093
Phone: (530) 623-2500
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TRINITY COUNTY LIFE SUPPORT is a land transport ambulance in Weaverville, CA. TRINITY COUNTY LIFE SUPPORT NPI is 1417013616. The provider is registered as an organization entity type.

The provider's business location address is:

610 WASHINGTON ST.
WEAVERVILLE, CA
ZIP 96093
Phone: (530) 623-2500
Fax: (530) 623-2614

The provider's authorized official is Kathleen Ratliff .
The authorized official title is Administrator and has the following contact phone number (530) 623-2500.

The CLIA number assigned to this NPI record is 05D0950191 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 10/30/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	1574	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	MTE00685F	MEDICAID	CALIFORNIA
2	ZZZ38634Z	MEDICARE PIN	CALIFORNIA
3	W32586	MEDICARE UPIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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