MEDICARE: CHINO VALLEY INDEPENDENT FIRE 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

General Provider Information

NPI Number	:	1154090926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHINO VALLEY INDEPENDENT FIRE DISTRICT

Provider Business Mailing Address
First Line	:	14011 CITY CENTER DR
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-5442
Country	:	US
Telephone Number	:	909-902-5260
Fax Number	:

Provider Business Practice Location Address
First Line	:	14011 CITY CENTER DR
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-5442
Country	:	US
Telephone Number	:	909-902-5260
Fax Number	:

Authorized Official
Title or Position	:	EMS CAPTAIN
Name	:	BRYAN TURNER
Credential	:
Telephone Number	:	909-902-5260

Provider Enumeration Date	:	09/07/2021
Last Update Date	:	09/07/2021

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Directions to “CHINO VALLEY INDEPENDENT FIRE DISTRICT ” Practice Location

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