Healthcare Provider Details

I. General information

NPI: 1871984005
Provider Name (Legal Business Name): HUGHSON FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2015
Last Update Date: 02/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 CHARLES ST
HUGHSON CA
95326-8011
US

IV. Provider business mailing address

PO BOX 747
WHEELING IL
60090-0747
US

V. Phone/Fax

Practice location:
  • Phone: 209-883-2863
  • Fax: 209-883-2362
Mailing address:
  • Phone: 800-244-2345
  • Fax: 800-329-5274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number StateCA

VIII. Authorized Official

Name: SCOTT BERNER
Title or Position: FIRE CHIEF
Credential:
Phone: 209-883-2863