Provider Demographics
NPI:1275522898
Name:NORTH COUNTY FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:NORTH COUNTY FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BATTALION CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBOTT
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-P
Authorized Official - Phone:760-723-2018
Mailing Address - Street 1:330 S MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:FALLBROOK
Mailing Address - State:CA
Mailing Address - Zip Code:92028-2938
Mailing Address - Country:US
Mailing Address - Phone:760-723-2039
Mailing Address - Fax:
Practice Address - Street 1:315 E IVY ST
Practice Address - Street 2:
Practice Address - City:FALLBROOK
Practice Address - State:CA
Practice Address - Zip Code:92028-2138
Practice Address - Country:US
Practice Address - Phone:760-723-2018
Practice Address - Fax:760-723-2044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-17
Last Update Date:2017-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMTE00887FMedicaid
CASLF000Medicare UPIN
CAMTE00887FMedicaid