Organization
SOUTH LAKE COUNTY FIRE PROTECTION DISTRICT
Active
Organization
SOUTH LAKE COUNTY FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG BERTELLI (FIRE CHIEF)
(707) 279-2125
Entity
Organization
Contact information
Practice address
21095 HIGHWAY 175, MIDDLETOWN, CA 95461-9527
(707) 987-3089
Mailing address
PO BOX 269110, SACRAMENTO, CA 95826-9110
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590004954
RRB
—
05
—
ZZZ83591Z
—
CA
Enumeration date
07/26/2005
Last updated
12/17/2019
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