MEDICARE: JULIAN CUYAMACA FIRE PROTECTION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144210147
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JULIAN CUYAMACA FIRE PROTECTION

Provider Business Mailing Address
First Line	:	5050 AVENIDA ENCINAS
Second Line	:	SUITE 230
City	:	CARLSBAD
State	:	CA
Zip	:	92008-4383
Country	:	US
Telephone Number	:	760-439-6581
Fax Number	:	760-268-0924

Provider Business Practice Location Address
First Line	:	2645 FARMERS RD
Second Line	:
City	:	JULIAN
State	:	CA
Zip	:	92036
Country	:	US
Telephone Number	:	760-439-6581
Fax Number	:

Authorized Official
Title or Position	:	CHIEF
Name	:	KEVIN DUBLER
Credential	:
Telephone Number	:	760-439-6581

Provider Enumeration Date	:	10/21/2005
Last Update Date	:	07/18/2013

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