SOUTH LASSEN EMS, INC.; NPI #1174608624

Contact Information

SOUTH LASSEN EMS, INC.

316 MAIN STREET
GREENVILLE, CA 95947

Phone: 530-257-0249
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for SOUTH LASSEN EMS, INC.

NPI # 1174608624

LBN Legal business name SOUTH LASSEN EMS, INC.

Authorized official BRADLEY REGER - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/25/2006

Last updated 08/04/2010 - About 16 years ago

Identifiers

Medicaid

MTE01037F

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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SOUTH LASSEN EMS, INC.

Contact Information

Specialty

Land Transport

NPI Profile & details for SOUTH LASSEN EMS, INC.

Reviews for SOUTH LASSEN EMS, INC.