# LAKEVIEW DISASTER UNIT, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053492108
- **Authorized official:** ALAN MUNHALL (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (541) 947-4872

## Contact information

- **Practice address:** 245 N F ST, LAKEVIEW, OR 97630-1409
- **Practice address phone:** (541) 947-2504
- **Mailing address:** 245 N F ST, LAKEVIEW, OR 97630-1409
- **Mailing address phone:** (541) 947-2504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 1901 | OR | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 10/27/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 111278 | — | OR |