Healthcare Provider Details

I. General information

NPI: 1558573915
Provider Name (Legal Business Name): ADELANTO FIRE DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10370 RANCHO RD
ADELANTO CA
92301-2275
US

IV. Provider business mailing address

10370 RANCHO RD
ADELANTO CA
92301-2275
US

V. Phone/Fax

Practice location:
  • Phone: 760-246-3344
  • Fax: 760-246-3312
Mailing address:
  • Phone: 760-246-3344
  • Fax: 760-246-3312

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number StateCA

VIII. Authorized Official

Name: MR. JOHN V SALVATE
Title or Position: BATTALION CHIEF
Credential:
Phone: 760-246-3344