Klamath Trinity Non-Emergency Transportation

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

7U55682 Issued in CA

Legal business name

KLAMATH TRINITY NON-EMERGENCY TRANSPORTATION

Practice address

38883 Highway 299
Willow Creek, CA 95573-1147

Phone

(530) 629-1192

Fax

(530) 629-1193

NPI assigned

Feb 28, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Terri L. Castner

Title

Executive Director

Phone

(530) 629-1192

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033246798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1147",
            "city": "WILLOW CREEK",
            "state": "CA",
            "postal_code": "955731147",
            "telephone_number": "530-629-1192",
            "fax_number": "530-629-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38883 HIGHWAY 299",
            "city": "WILLOW CREEK",
            "state": "CA",
            "postal_code": "955731147",
            "telephone_number": "530-629-1192",
            "fax_number": "530-629-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLAMATH TRINITY NON-EMERGENCY TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASTNER",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "530-629-1192",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "7U55682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari Rachelle Hostler, MSW-SSW-PPSC
• Humboldt County Behavioral Health (Willow Creek Clinic)
• Humboldt Radiology Medical Group Inc
• Amanda Baer James, FNP
• William O. Jones, PA-C
• Patricia Komlenic, RN
• Cynthia Llewellyn, RN
• Jane E Manning, P.A.
• Karen Mayville, RN
• Loretta Rae McCurtain, FNP

• Non-emergency Medical Transport (VAN) in Willow Creek, CA
• Providers in Willow Creek, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.