Provider Demographics
NPI:1619069242
Name:NORTH CENTRAL FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:NORTH CENTRAL FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:LONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOWNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-275-5531
Mailing Address - Street 1:PO BOX 1430
Mailing Address - Street 2:
Mailing Address - City:SUISUN CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94585-4430
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15850 W KEARNEY BLVD
Practice Address - Street 2:
Practice Address - City:KERMAN
Practice Address - State:CA
Practice Address - Zip Code:93630-9335
Practice Address - Country:US
Practice Address - Phone:559-275-5531
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMTE00903FMedicaid
CAZZZ57175ZOtherBLUE SHIELD OF CALIF
CAZZZ57175ZOtherBLUE SHIELD OF CALIF
CAP00067174Medicare ID - Type UnspecifiedMEDICARE RAILROAD RETIREE