Provider Demographics
NPI:1619695483
Name:C2C PUBLIC SAFETY LLC
Entity Type:Organization
Organization Name:C2C PUBLIC SAFETY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF RISK MANAGEMENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:EGING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-262-7877
Mailing Address - Street 1:55 LAKE HAVASU AVE S STE F808
Mailing Address - Street 2:
Mailing Address - City:LAKE HAVASU CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86403-0938
Mailing Address - Country:US
Mailing Address - Phone:833-262-7877
Mailing Address - Fax:833-226-2235
Practice Address - Street 1:1545 INDUSTRIAL BLVD
Practice Address - Street 2:
Practice Address - City:LAKE HAVASU CITY
Practice Address - State:AZ
Practice Address - Zip Code:86403-3640
Practice Address - Country:US
Practice Address - Phone:833-262-7877
Practice Address - Fax:833-226-2235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance