Provider Demographics
NPI:1881132678
Name:CITY OF INDIAN WELLS
Entity type:Organization
Organization Name:CITY OF INDIAN WELLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-346-2489
Mailing Address - Street 1:PO BOX 1380
Mailing Address - Street 2:
Mailing Address - City:SUISUN CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94585-4380
Mailing Address - Country:US
Mailing Address - Phone:760-346-2489
Mailing Address - Fax:760-346-0407
Practice Address - Street 1:44950 ELDORADO DR
Practice Address - Street 2:
Practice Address - City:INDIAN WELLS
Practice Address - State:CA
Practice Address - Zip Code:92210-7414
Practice Address - Country:US
Practice Address - Phone:760-346-2489
Practice Address - Fax:760-346-0407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-01
Last Update Date:2018-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance