MEDICARE: CHESTER FIRE PROTECTION DISTRICT

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	3416L0300X	Land 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
2	P00260790	OTHER		RRB

General Provider Information

NPI Number	:	1003891235
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHESTER FIRE PROTECTION DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 177
Second Line	:
City	:	CHESTER
State	:	CA
Zip	:	96020-0177
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	198 MAIN ST
Second Line	:
City	:	CHESTER
State	:	CA
Zip	:	96020-9745
Country	:	US
Telephone Number	:	530-258-3456
Fax Number	:

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	BILL TURNER
Credential	:
Telephone Number	:	530-258-3456

Provider Enumeration Date	:	12/09/2005
Last Update Date	:	05/21/2009

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1124121413 — STEVEN G BROWN MS PT
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Directions to “CHESTER FIRE PROTECTION DISTRICT ” Practice Location

Language	Start Address	Practice Location

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