South Lake County Fire Protection District

LBN: South Lake County Fire Protection District
South Lake County Fire Protection District is an health care organization with primary practice located at 21095 Highway 175 , Middletown CA 95461-9527. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. South Lake County Fire Protection District can be contacted via phone (707) 987-3089, or through Bertelli, Greg via phone (707) 279-2125.

Contact Information

Primary practice address
21095 Highway 175 Middletown CA 95461-9527
Phone: (707) 987-3089
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bertelli, Greg
Phone: (707) 279-2125

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X

Profile Details

NPI number 1265432801
LBN Legal business name South Lake County Fire Protection District
DBA Doing business as
Authorized official Bertelli, Greg
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2005
Last updated Dec 17th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265432801 NPPES
Other 590004954 RRB
MEDICAID ZZZ83591Z RRB

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