# BARONA BAND OF MISSION INDIANS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467526905
- **Authorized official:** KEN KREMENSKY (FIRE CHIEF)
- **Authorized official phone:** (619) 390-2794

## Contact information

- **Practice address:** 1112 BARONA RD, LAKESIDE, CA 92040-1540
- **Practice address phone:** (619) 390-2794
- **Mailing address:** 1112 BARONA RD, LAKESIDE, CA 92040-1540
- **Mailing address phone:** (619) 390-2794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | — | Yes |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 08/22/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | MTE00999F | — | CA |