Provider Demographics
NPI:1811081425
Name:CITY OF OCEANSIDE
Entity type:Organization
Organization Name:CITY OF OCEANSIDE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REVENUE DIVISION MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TERI
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-435-3839
Mailing Address - Street 1:300 N COAST HWY
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-2824
Mailing Address - Country:US
Mailing Address - Phone:760-435-4112
Mailing Address - Fax:760-529-0042
Practice Address - Street 1:300 N COAST HWY
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-2824
Practice Address - Country:US
Practice Address - Phone:760-435-4112
Practice Address - Fax:760-529-0042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ73590ZMedicaid
CAZZZ73590ZMedicaid