Provider Demographics
NPI:1740903798
Name:CITY OF MERCED
Entity type:Organization
Organization Name:CITY OF MERCED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BATTALION CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:MICKEY
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:BRUNELLI
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:209-385-6891
Mailing Address - Street 1:99 E 16TH ST
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-5020
Mailing Address - Country:US
Mailing Address - Phone:209-385-6891
Mailing Address - Fax:
Practice Address - Street 1:99 E 16TH ST
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-5020
Practice Address - Country:US
Practice Address - Phone:209-385-6891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-23
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Single Specialty
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty