Healthcare Provider Details

I. General information

NPI: 1740289263
Provider Name (Legal Business Name): CITY OF SELMA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2005
Last Update Date: 04/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2861 A ST
SELMA CA
93662-2801
US

IV. Provider business mailing address

1710 TUCKER ST
SELMA CA
93662-3728
US

V. Phone/Fax

Practice location:
  • Phone: 559-891-2211
  • Fax: 559-896-4300
Mailing address:
  • Phone: 559-891-2200
  • Fax: 559-896-1068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MICHAEL KAIN
Title or Position: FIRE CHIEF
Credential:
Phone: 559-891-2211