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Organization

TRINITY COUNTY LIFE SUPPORT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHLEEN RATLIFF (ADMINISTRATOR)
(530) 623-2500
Entity
Organization

Contact information

Practice address
610 WASHINGTON ST., WEAVERVILLE, CA 96093
(530) 623-2500
(530) 623-2614
Mailing address
PO BOX 496084, REDDING, CA 96049-6084
(530) 241-0473
(530) 241-5377

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1574
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MTE00685F
CA
Enumeration date
12/29/2006
Last updated
10/30/2014
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