Provider Demographics
NPI:1750317392
Name:SOUTH SAN FRANCISCO FIRE DEPT
Entity Type:Organization
Organization Name:SOUTH SAN FRANCISCO FIRE DEPT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-829-3950
Mailing Address - Street 1:480 N CANAL ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-4603
Mailing Address - Country:US
Mailing Address - Phone:650-829-3950
Mailing Address - Fax:650-829-3954
Practice Address - Street 1:480 N CANAL ST
Practice Address - Street 2:
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-4603
Practice Address - Country:US
Practice Address - Phone:650-829-3950
Practice Address - Fax:650-829-3954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMTE01198FMedicaid
CAMTE01198FMedicaid