Organization
SOUTH LASSEN EMS, INC.
Active
Other names
SOuth Lassen EMS, inc. dba Mountain Lifeflight
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY REGER (CEO)
(530) 257-0249
Entity
Organization
Contact information
Practice address
316 MAIN STREET, GREENVILLE, CA 95947
(530) 257-0249
Mailing address
PO BOX 711, SUSANVILLE, CA 96130-0711
(530) 257-0249
(530) 251-2998
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTE01037F
—
CA
Enumeration date
10/25/2006
Last updated
08/04/2010
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