Organization
LAKEVIEW DISASTER UNIT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN MUNHALL (EXECUTIVE DIRECTOR)
(541) 947-4872
Entity
Organization
Contact information
Practice address
245 N F ST, LAKEVIEW, OR 97630-1409
(541) 947-2504
Mailing address
245 N F ST, LAKEVIEW, OR 97630-1409
(541) 947-2504
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1901
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111278
—
OR
Enumeration date
10/17/2006
Last updated
10/27/2016
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