Provider Demographics
NPI:1609334804
Name:CITY OF MILPITAS
Entity Type:Organization
Organization Name:CITY OF MILPITAS
Other - Org Name:MILPITAS FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF EMS
Authorized Official - Prefix:
Authorized Official - First Name:KENJU
Authorized Official - Middle Name:
Authorized Official - Last Name:SUZUKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-586-2824
Mailing Address - Street 1:777 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-5322
Mailing Address - Country:US
Mailing Address - Phone:408-586-2818
Mailing Address - Fax:408-942-3269
Practice Address - Street 1:777 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-5322
Practice Address - Country:US
Practice Address - Phone:408-586-2818
Practice Address - Fax:408-942-3269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-06
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1609334804Medicaid