Southern Cascades Community Services District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SOUTHERN CASCADES COMMUNITY SERVICES DISTRICT

Doing business as

Southern Cascades Emergency Medical Services

Practice address

205 Ash Valley Rd.
Adin, CA 96006

Phone

(530) 299-3110

NPI assigned

Mar 22, 2019

Last updated

Mar 22, 2019By 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

Ernest Daniel Bouse

Title

District Manager

Phone

(530) 299-3110

Specialties & licenses 1

Addresses

Other names 1

• Southern Cascades Emergency Medical Services Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Southern Cascades Community2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southern Cascades Community Services District

  • Non-emergency Medical Transport (VAN)
  • Adin, CA
  • NPI 1336644681
  NPD tax ID

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553212800000",
    "number": "1437619616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 239",
            "city": "ADIN",
            "state": "CA",
            "postal_code": "960060239",
            "telephone_number": "530-299-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 ASH VALLEY RD.",
            "city": "ADIN",
            "state": "CA",
            "postal_code": "96006",
            "telephone_number": "530-299-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CASCADES COMMUNITY SERVICES DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-22",
        "last_updated": "2019-03-22",
        "status": "A",
        "authorized_official_last_name": "BOUSE",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "DISTRICT MANAGER",
        "authorized_official_telephone_number": "530-299-3110"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Cascades Emergency Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina L Anthes, M.A. CCC-SLP
• Mercy Air Service, Inc (SEMSA Air)
• Analuisa Orozco, LCSW
• Southern Cascades Community Services District

• Land Ambulance in Adin, CA
• Providers in Adin, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.