Lakeshore Fire Prot District in Clearlake - Land Transport

Lakeshore Fire Prot District - NPI 1154321495

Lakeshore Fire Prot District is a Land Transport in Clearlake, California. Lakeshore Fire Prot District practices all healthcare services and medical treatments related to Land Transport. The NPI Number for Lakeshore Fire Prot District is 1154321495. The last update date is 2016-05-04.

Lakeshore Fire Prot District's current location address is 14815 Olympic Drive, Clearlake, California. You can contact this provider via phone number 7079942170 and fax number 7079944861. The mailing address for Lakeshore Fire Prot District is 14815 Olympic Drive, Clearlake, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lakeshore Fire Prot District
Address 14815 Olympic Drive, Clearlake, California
Phone Number 7079942170
Fax Number 7079944861
Sole Proprietor --
Credentials --

Authorized Official

Title or Position FIRE CHIEF
Authorized Official Name Sapeta William
Telephone Number 7079942170

NPI Number Detail

NPI Number 1154321495
Provider Enumeration Date 2005-07-28
Last Updated Date 2016-05-04

Provider Mailing Address Detail

Address 14815 Olympic Drive
City Clearlake
State California (CA)
Post Code 95422
Phone Number 7079942170
Fax Number 7079944861

Provider's Primary Taxonomy Detail

Speciality Land Transport
Taxonomy 3416L0300X
Definition:
Provides emergency patient transportation by ground using specialized vehicles equipped with medical equipment and staffed by medical personnel.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
560013519 RRB
MTN00005F CA --

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FAQs about Lakeshore Fire Prot District

What is the Lakeshore Fire Prot District's unique identification number?

The Lakeshore Fire Prot District has been assigned the NPI (National Provider Identifier) Number 1154321495 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Lakeshore Fire Prot District is physically located?

The Lakeshore Fire Prot District is situated at the following address: 14815 Olympic Drive, Clearlake, CA 95422.

What is Lakeshore Fire Prot District's specialized field of practice, and what is the corresponding taxonomy classification code?

The Lakeshore Fire Prot District's area of specialization is Land Transport, and the corresponding taxonomy code that categorizes this field of practice is 3416L0300X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1154321495 to Lakeshore Fire Prot District?

The Centers for Medicare & Medicaid Services originally issued the 1154321495 to Lakeshore Fire Prot District on 2005-07-28.

As of what date were the Lakeshore Fire Prot District's details last updated?

The information pertaining to the Lakeshore Fire Prot District, including its address, specialty, and other details, was most recently updated on 2016-05-04.

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