Organization
KLAMATH TRINITY NON-EMERGENCY TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRI L. CASTNER (EXECUTIVE DIRECTOR)
(530) 629-1192
Entity
Organization
Contact information
Practice address
38883 HIGHWAY 299, WILLOW CREEK, CA 95573-1147
(530) 629-1192
(530) 629-1193
Mailing address
PO BOX 1147, WILLOW CREEK, CA 95573-1147
(530) 629-1192
(530) 629-1193
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
7U55682
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MTN01238F
NON EMERGENCY TRANSP.
CA
Enumeration date
02/28/2007
Last updated
08/22/2020
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