COAST LIFE SUPPORT DISTRICT (NPI# 1730284225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730284225 |
| Entity Type | Organization |
| Organization Name | COAST LIFE SUPPORT DISTRICT |
| Practice Address |
38901 Ocean Drive Gualala CA 95445-8001 |
| Mailing Address |
Po Box 269110 Sacramento CA 95826-9110 |
| Practice Telephone | 7078841829 |
| Practice Fax Number | 7078844663 |
| Mailing Telephone | 9166694607 |
| Mailing Fax Number | 9164715107 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2015-06-09 |
| Authorized Official Name | DAVID RICE (DISTRICT FISCAL OFFICER) |
| Authorized Official Telephone | 7078841829 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| Street Address |
38901 OCEAN DRIVE |
| City | GUALALA |
| State | CA |
| Zip Code | 95445-8001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205453586 | Mendocino Pharmacy Holdings Inc. | Pharmacy | 39251 South Highway 1, Gualala, CA 95445 | 2020-07-02 |
| 1922659499 | Lucinda Weaver Physical Therapy | Clinic/Center | 39120 Ocean Dr, Gualala, CA 95445 | 2019-09-25 |
| 1275858573 | James Edwin Platt | Chiropractor | 38820 Hwy. 1, Suite 108, Gualala, CA 95445 | 2010-03-30 |
| 1184862013 | Lucinda Weaver I | Physical Therapist | 39120 Ocean Dr., Gualala, CA 95445 | 2009-01-30 |
| 1902050669 | Gena Lynn Davis | Optometrist | 39150 Ocean Drive, Suite 2a, Gualala, CA 95445 | 2008-11-07 |
| 1477731032 | Carolee Brady | Marriage & Family Therapist | 38550 S Hwy 1, Gualala, CA 95445 | 2008-02-06 |
| 1053432971 | Barbara Brittell | Physician Assistant | 46900 Ocean Drive, Redwood Coast Medical Services, Gualala, CA 95445 | 2007-04-02 |
| 1174658298 | Richard T Miner | Chiropractor | 38690 Pacific Dr., Suite 3, Gualala, CA 95445 | 2007-02-22 |
| 1104962638 | Robert Arnold Nelson | Ophthalmology | 30150 So Hwy One, Gualala, CA 95445 | 2007-01-30 |
| 1982808119 | Allen B. Cox Jr. | Dentist | 38460 S. Highway One, Gualala, CA 95445-1199 | 2007-06-12 |
| Find all providers in zip 95445 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1366043663 | Heena Parvez Merchant | Ambulance | Heena Parvez Merchant, 271 W Atara St, Monrovia, CA 91016-4716 | 2020-11-03 |
| 1629688197 | Sdmt Ambulance Services, LLC | Ambulance | 3275 Market St Ste 203, San Diego, CA 92102-3345 | 2020-08-08 |
| 1699398560 | Ridgecrest Regional Hospital | Ambulance | 350 E Ridgecrest Blvd Ste 107, Ridgecrest, CA 93555-3928 | 2020-05-26 |
| 1356960413 | City of Chula Vista | Ambulance | 447 F St, Chula Vista, CA 91910-3715 | 2020-04-09 |
| 1891331021 | Medevac Inc | Ambulance | 8025 Tone Lane, El Cajon, CA 92021 | 2019-11-22 |
| 1538705207 | Vital Care Ambulance Inc | Ambulance | 1480 Colorado Blvd Ste 135, Los Angeles, CA 90041-2373 | 2019-11-18 |
| 1609410125 | Luxcare Ambulance LLC | Ambulance | 1267 Willis St Ste 200, Redding, CA 96001-0400 | 2019-10-29 |
| 1114560984 | City of Ukiah | Ambulance | 1500 S State St, Ukiah, CA 95482-6709 | 2019-10-23 |
| 1487207452 | Xentro LLC | Ambulance | 2157 Hyacinth Dr, Oxnard, CA 93036-2338 | 2019-07-18 |
| 1548727886 | The Medics Plus Inc. | Ambulance | 2122 College Ave, Modesto, CA 95350-3044 | 2019-02-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.