Provider Demographics
NPI:1881819514
Name:CITY OF SANTA MONICA
Entity Type:Organization
Organization Name:CITY OF SANTA MONICA
Other - Org Name:SANTA MONICA FIRE DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:FIRE CAPTAIN PARAMEDIC COORDINATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:FURROWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-434-2642
Mailing Address - Street 1:333 OLYMPIC BLVD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90401-3352
Mailing Address - Country:US
Mailing Address - Phone:310-458-8652
Mailing Address - Fax:310-458-8650
Practice Address - Street 1:333 OLYMPIC BLVD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90401-3352
Practice Address - Country:US
Practice Address - Phone:310-458-8652
Practice Address - Fax:310-458-8650
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF SANTA MONICA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-16
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance