Provider Demographics
NPI:1861481962
Name:GALT FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:GALT FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:J
Authorized Official - Last Name:MROZINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-745-1001
Mailing Address - Street 1:208 A ST
Mailing Address - Street 2:
Mailing Address - City:GALT
Mailing Address - State:CA
Mailing Address - Zip Code:95632-1821
Mailing Address - Country:US
Mailing Address - Phone:209-745-1001
Mailing Address - Fax:
Practice Address - Street 1:208 A ST
Practice Address - Street 2:
Practice Address - City:GALT
Practice Address - State:CA
Practice Address - Zip Code:95632-1821
Practice Address - Country:US
Practice Address - Phone:209-745-1001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ48599ZMedicaid
ZZZ48599ZMedicare ID - Type Unspecified