1700947488 NPI number — SAN BERNARDINO COUNTY

Table of content: (NPI 1700947488)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700947488 NPI number — SAN BERNARDINO COUNTY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SAN BERNARDINO COUNTY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SAN BERNARDINO COUNTY FIRE DEPARTMENT
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1700947488
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/20/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 846707
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90084-6707
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
909-387-6128
Provider Business Mailing Address Fax Number:
909-387-5542

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
157 W 5TH STREET FLOOR 2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN BERNARDINO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92415-0451
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
909-387-5959
Provider Business Practice Location Address Fax Number:
909-387-5542
Provider Enumeration Date:
12/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CASTILLO
Authorized Official First Name:
STEVEN
Authorized Official Middle Name:
Authorized Official Title or Position:
FINANCE OFFICER
Authorized Official Telephone Number:
909-387-6128

Provider Taxonomy Codes

  • Taxonomy code: 3416A0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3416L0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: G1936A . This is a "COUNTY OF SAN BERNARDINO" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: ZZZ70804Z . This is a "YUCCA VALLEY" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: ZZZ93899Z . This is a "YUCCA VALLEY" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: ZZZ19285Z . This is a "SEARLES" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 421617846 . This is a "LUCERNE VALLEY" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: MTE00128F . This is a "LUCERNE VALLEY" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: MTE00974F . This is a "LAKE HAVASU" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: ZZZ93482Z . This is a "WRIGHTWOOD" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 330815195 . This is a "WRIGHTWOOD" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 952673990 . This is a "ADELANTO" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: ZZZ18038Z . This is a "LAKE ARROWHEAD" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: ZZZ35067Z . This is a "WRIGHTWOOD" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 330296687 . This is a "LAKE ARROWHEAD" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 330296690 . This is a "SEARLES" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: MTE00380F . This is a "SEARLES" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: ZZZ14819Z . This is a "LAKE HAVASU" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: ZZZ70004Z . This is a "LAKE ARROWHEAD" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: ZZZ700142Z . This is a "LUCERNE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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