Organization
TRINITY COUNTY LIFE SUPPORT
Active
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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