# CITY OF SAN RAFAEL

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

## Provider details

- **NPI number:** 1699832584
- **Authorized official:** DARIN WHITE (FIRE CHIEF)
- **Authorized official phone:** (415) 485-3084

## Contact information

- **Practice address:** 1375 5TH AVE, SAN RAFAEL, CA 94901-1942
- **Practice address phone:** (415) 485-3084
- **Mailing address:** PO BOX 1330, SUISUN CITY, CA 94585-4330
- **Mailing address phone:** (415) 485-3304
- **Mailing address fax:** (415) 453-1627

## Taxonomy

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

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 10/03/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | MTE00308F | — | CA |