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SHAMROCK LODGE INC NPI 1851576714


NPI Information

NPI: 1851576714
Provider Name: SHAMROCK LODGE, INC
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization
Address:
17611 SHAMROCK AVE
FONTANA, CA
ZIP 92336
Phone: (909) 349-1145
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SHAMROCK LODGE, INC is a non emergency medical transport van in Fontana, CA. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. SHAMROCK LODGE, INC NPI is 1851576714. The provider is registered as an organization entity type.

The provider's business location address is:

17611 SHAMROCK AVE
FONTANA, CA
ZIP 92336-233
Phone: (909) 349-1145

The provider's authorized official is Corazon Libre Daguplo .
The authorized official title is President and has the following contact phone number (909) 238-9771.

The enumeration date for this NPI number is 1/9/2008 and was last updated on 3/31/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1343900000XNon-emergency Medical Transport (VAN)C4747645CALIFORNIAYes

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: 4/28/2024

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