Provider Demographics
NPI:1619149754
Name:CITY OF SAN DIEGO FIRE-RESCUE DEPARTMENT
Entity Type:Organization
Organization Name:CITY OF SAN DIEGO FIRE-RESCUE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY FIRE CHIEF, SPECIAL OPS
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:FENNESSY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-533-4407
Mailing Address - Street 1:1010 2ND AVE STE 400
Mailing Address - Street 2:ATTN: AIR OPERATIONS CHIEF
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-4970
Mailing Address - Country:US
Mailing Address - Phone:619-533-4353
Mailing Address - Fax:
Practice Address - Street 1:1010 2ND AVE STE 400
Practice Address - Street 2:ATTN: AIR OPERATIONS CHIEF
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-4970
Practice Address - Country:US
Practice Address - Phone:619-533-4353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF SAN DIEGO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-03-28
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport