Provider Demographics
NPI:1134283179
Name:RIPON CONSOLIDATED FIRE DISTRICT
Entity Type:Organization
Organization Name:RIPON CONSOLIDATED FIRE DISTRICT
Other - Org Name:RIPON FIRE DISTRICT AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BITTERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-599-4209
Mailing Address - Street 1:142 S STOCKTON AVE
Mailing Address - Street 2:
Mailing Address - City:RIPON
Mailing Address - State:CA
Mailing Address - Zip Code:95366-2759
Mailing Address - Country:US
Mailing Address - Phone:209-599-4209
Mailing Address - Fax:209-599-2847
Practice Address - Street 1:142 S STOCKTON AVE
Practice Address - Street 2:
Practice Address - City:RIPON
Practice Address - State:CA
Practice Address - Zip Code:95366-2759
Practice Address - Country:US
Practice Address - Phone:209-599-4209
Practice Address - Fax:209-599-2847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1192506341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance