MEDICARE: FORESTHILL 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

General Provider Information

NPI Number	:	1285772780
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FORESTHILL FIRE PROTECTION DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 269110
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95826-9110
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	24320 MAIN ST
Second Line	:
City	:	FORESTHILL
State	:	CA
Zip	:	95631
Country	:	US
Telephone Number	:	530-367-2465
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	PATRICE METZ
Credential	:
Telephone Number	:	530-367-2465

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	02/13/2018

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Practice Location Address:

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1225046402 — DANIEL KEITH WOODSON D.D.S.
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1346353141 — MR. KEVIN M. FLEMING D.C.
Practice Location Address:

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1700966827 — DR. TIMOTHY P. DOOLITTLE DC
Practice Location Address:

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1760518641 — RONALD WILLIAM BERG D.C.
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Directions to “FORESTHILL FIRE PROTECTION DISTRICT ” Practice Location

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