| Organization Name: | TRINITY COUNTY LIFE SUPPORT |
| NPI Number: | 1417013616 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHLEEN RATLIFF (ADMINISTRATOR) |
| Mailing Address: | 610 Washington St. Weaverville |
| State: | CA US |
| Postal Code: | 96093 |
| Phone Number: | 5306232500 |
| Fax Number: | 5306232614 |
| NPI Enumeration Date: | 12/29/2006 |
| NPI Last Update Date: | 10/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 1574 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |