Shamrock Lodge, Inc in Fontana - Non-emergency Medical Transport (van)
Shamrock Lodge, Inc - NPI 1851576714
Shamrock Lodge, Inc is a Non-emergency Medical Transport (van) in Fontana, California. Shamrock Lodge, Inc practices all healthcare services and medical treatments related to Non-emergency Medical Transport (van). The NPI Number for Shamrock Lodge, Inc is 1851576714. The last update date is 2008-03-31.
Shamrock Lodge, Inc's current location address is 17611 Shamrock Ave, Fontana, California. You can contact this provider via phone number 9093491145. The mailing address for Shamrock Lodge, Inc is 17611 Shamrock Ave, Fontana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shamrock Lodge, Inc |
|---|---|
| Address | 17611 Shamrock Ave, Fontana, California |
| Phone Number | 9093491145 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Daguplo Libre Corazon |
| Telephone Number | 9092389771 |
NPI Number Detail
| NPI Number | 1851576714 |
|---|---|
| Provider Enumeration Date | 2008-01-09 |
| Last Updated Date | 2008-03-31 |
Provider Mailing Address Detail
| Address | 17611 Shamrock Ave |
|---|---|
| City | Fontana |
| State | California (CA) |
| Post Code | 923362233 |
| Phone Number | 9093491145 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Non-emergency Medical Transport (van) |
|---|---|
| Taxonomy | 343900000X |
| Licence No | C4747645 |
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Definition: 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. |
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What is the unique 10-digit identifier code issued to Shamrock Lodge, Inc by the Centers for Medicare & Medicaid Services?
The Shamrock Lodge, Inc has been assigned the NPI (National Provider Identifier) 1851576714 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Shamrock Lodge, Inc's facilities are situated?
The facilities of Shamrock Lodge, Inc are physically located at the following address: 17611 Shamrock Ave, Fontana, CA, 923362233.
What is Shamrock Lodge, Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shamrock Lodge, Inc's area of specialization is Non-emergency Medical Transport (van), and the corresponding taxonomy code that categorizes this field of practice is 343900000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1851576714 to Shamrock Lodge, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1851576714 to Shamrock Lodge, Inc on 2008-01-09.
When was the Shamrock Lodge, Inc's information last updated?
The Shamrock Lodge, Inc's information was last updated on 2008-03-31.
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