Provider Demographics
NPI:1598886939
Name:CITY OF GONZALES FIRE RESCUE DEPARTMENT
Entity Type:Organization
Organization Name:CITY OF GONZALES FIRE RESCUE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:BUTCH
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWNING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-644-5307
Mailing Address - Street 1:120 S IRMA BLVD
Mailing Address - Street 2:
Mailing Address - City:GONZALES
Mailing Address - State:LA
Mailing Address - Zip Code:70737-3604
Mailing Address - Country:US
Mailing Address - Phone:225-644-5307
Mailing Address - Fax:225-644-2035
Practice Address - Street 1:724 WEST ORICE ROTH RD.
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-4141
Practice Address - Country:US
Practice Address - Phone:225-644-5307
Practice Address - Fax:225-644-2035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9110088341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance