Provider Demographics
NPI:1740289263
Name:CITY OF SELMA
Entity type:Organization
Organization Name:CITY OF SELMA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-891-2211
Mailing Address - Street 1:1710 TUCKER ST
Mailing Address - Street 2:
Mailing Address - City:SELMA
Mailing Address - State:CA
Mailing Address - Zip Code:93662-3728
Mailing Address - Country:US
Mailing Address - Phone:559-891-2200
Mailing Address - Fax:559-896-1068
Practice Address - Street 1:2861 A ST
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:CA
Practice Address - Zip Code:93662-2801
Practice Address - Country:US
Practice Address - Phone:559-891-2211
Practice Address - Fax:559-896-4300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-18
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMTE00203FMedicaid
CAMTE00203FMedicaid