Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mt Shasta Ambulance Service Inc

Organization Ambulance · NPI 1558487892

Mt Shasta Ambulance Service Inc is an Ambulance in Mount Shasta, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1020 Oak St
Mount Shasta, CA 96067-9492
Phone: (530) 926-2665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Land Ambulance (primary) Taxonomy 3416L0300X
Ambulance Taxonomy 341600000X · Licence 43733 (CA)

Record details

NPI number1558487892
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Evangelos Banos — Owner · (530) 926-2665
NPI enumeratedMarch 21, 2007
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024
Mailing address1020 Oak St, Po Box 1030, Mount Shasta, CA 96067-9492