LAKEVIEW DISASTER UNIT INC. NPI 1053492108

NPI Information

NPI: 1053492108
Provider Name: LAKEVIEW DISASTER UNIT, INC.
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
245 N F ST
LAKEVIEW, OR
ZIP 97630
Phone: (541) 947-2504
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LAKEVIEW DISASTER UNIT, INC. is a land transport ambulance in Lakeview, OR. LAKEVIEW DISASTER UNIT, INC. NPI is 1053492108. The provider is registered as an organization entity type.

The provider's business location address is:

245 N F ST
LAKEVIEW, OR
ZIP 97630-409
Phone: (541) 947-2504

The provider's authorized official is Alan Munhall .
The authorized official title is Executive Director and has the following contact phone number (541) 947-4872.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 10/27/2016.

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	1901	OREGON	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	Other Provider Identifier Issuer
1	111278	MEDICAID	OREGON

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: 5/5/2024

NPI Synchronization or Removal

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