SOUTH LAKE COUNTY FIRE PROTECTION DISTRICT (NPI# 1265432801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265432801 |
| Entity Type | Organization |
| Organization Name | SOUTH LAKE COUNTY FIRE PROTECTION DISTRICT |
| Practice Address |
21095 Highway 175 Middletown CA 95461-9527 |
| Mailing Address |
Po Box 269110 Sacramento CA 95826-9110 |
| Practice Telephone | 7079873089 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2019-12-17 |
| Authorized Official Name | GREG BERTELLI (FIRE CHIEF) |
| Authorized Official Telephone | 7072792125 |
| 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 |
|---|---|---|---|
| RRB | 590004954 | 01 | |
| CA | ZZZ83591Z | 05 |
| Street Address |
21095 HIGHWAY 175 |
| City | MIDDLETOWN |
| State | CA |
| Zip Code | 95461-9527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518523489 | Melissa Lynn Lipari | Student in an Organized Health Care Education/Training Program | 21825 Jerusalem Grade Road, Middletown, CA 95461 | 2019-05-15 |
| 1285952929 | Deidre Anne O'malley | Acupuncturist | 21128 Calistoga St., Suite A, Middletown, CA 95461 | 2010-05-05 |
| 1760502868 | Laura Goates Hobson | Acupuncturist | 10685 Sycamore Road, Loch Lomond, CA 95461 | 2007-03-30 |
| 1558418483 | Elizabeth Montgomery | Marriage & Family Therapist | 21050 Bush St., Middletown, CA 95461 | 2007-01-04 |
| 1417027319 | Sheila Safarian | Dentist | 21128 Calistoga Road, #0123, Middletown, CA 95461 | 2006-11-08 |
| 1972593788 | Adventist Health Clearlake Hospital Inc. | Clinic/Center | 21337 Bush St, Middletown, CA 95461 | 2005-10-24 |
| 1194154377 | Kate Newman | Counselor | 10155 Socrates Mine Road, Middletown, CA 95461 | 2013-11-07 |
| 1770911745 | Lynn Jordan | Registered Nurse | 21337 Bush Street, Middletown, CA 95461 | 2013-10-29 |
| 1699102004 | Daylen Cecil Roberts | Counselor | 10155 Socrates Mine Road, Middletown, CA 95461 | 2013-09-30 |
| 1063791028 | Adventist Health California Medical Group, Inc. | Family Medicine | 21337 Bush Street, Middletown, CA 95461 | 2011-08-09 |
| Find all providers in zip 95461 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 1609410125 | Luxcare Ambulance LLC | Ambulance | 1267 Willis St Ste 200, Redding, CA 96001-0400 | 2019-10-29 |
| 1114560984 | City of Ukiah | Ambulance | 1500 S State St, Ukiah, CA 95482-6709 | 2019-10-23 |
| 1487207452 | Xentro LLC | Ambulance | 2157 Hyacinth Dr, Oxnard, CA 93036-2338 | 2019-07-18 |
| 1548727886 | The Medics Plus Inc. | Ambulance | 2122 College Ave, Modesto, CA 95350-3044 | 2019-02-22 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLETOWN |
| Zip Code | 95461 |
Please comment or provide details below to improve the information on SOUTH LAKE COUNTY FIRE PROTECTION DISTRICT.
| 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.