HAPPY CAMP VOLUNTEER AMBULANCE SERVICE, INC (NPI# 1013912781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013912781 |
Entity Type | Organization |
Organization Name | HAPPY CAMP VOLUNTEER AMBULANCE SERVICE, INC |
Practice Address |
38 Park Way Happy Camp CA 96039 |
Mailing Address |
Po Box 596 Happy Camp CA 96039-0596 |
Practice Telephone | 5304932643 |
Enumeration Date | 2005-06-17 |
Last Update Date | 2019-12-17 |
Authorized Official Name | KIRK ANDREW EADIE (EMS MANAGER) |
Authorized Official Telephone | 5304932643 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MTE00466F | 05 |
Street Address |
38 PARK WAY |
City | HAPPY CAMP |
State | CA |
Zip Code | 96039 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265530885 | Charles Sidney Lent | Social Worker | 38 Park Way, Happy Camp, CA 96039 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760604029 | Patricia Louise Hobbs | Social Worker | 50 Jacobs Way, Happy Camp, CA 96039 | 2007-05-03 |
1629141429 | David Eisenberg | Registered Nurse | 64236 2nd Ave, Happy Camp, CA 96039 | 2006-11-17 |
1952342859 | Michael A Celayeta | Pharmacy | 64012 Hillside Rd, Happy Camp, CA 96039 | 2006-06-10 |
1285970418 | Eric Chau | General Practice | 64236 Second Ave, Happy Camp, CA 96039 | 2012-12-16 |
1336293638 | Janis Pia Madkins | Dentist | 64236 2nd Ave, Happy Camp, CA 96039 | 2007-01-23 |
1023181831 | Claudia Johnson Ross-mcleish | Registered Nurse | 38 Parkway, Happy Camp, CA 96039-0031 | 2006-11-17 |
1972925782 | Michael Celayeta Sr. | Pharmacist | 64012 Hillside Rd., Happy Camp, CA 96039-0425 | 2014-01-14 |
1881883452 | Terry Albert Michels | General Practice | 61500 Gordons Ferry Road, Happy Camp, CA 96039-0701 | 2007-10-19 |
1427389642 | Thanh Tat Do | Dentist | 64326 Second Ave., Happy Camp, CA 96039-1016 | 2010-01-28 |
1952483406 | Karuk Tribe | Social Worker | 64236 Second Ave, Happy Camp, CA 96039-1016 | 2006-10-20 |
Find all providers in zip 96039 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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Find all providers with the same taxonomy |
City | HAPPY CAMP |
Zip Code | 96039 |
Please comment or provide details below to improve the information on HAPPY CAMP VOLUNTEER AMBULANCE SERVICE, INC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.