Organization
IDYLLWILD FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK REITZ (FIRE CHIEF)
(951) 659-2153
Entity
Organization
Contact information
Practice address
54160 MARANATHA DRIVE, IDYLLWILD, CA 92549-0656
(951) 659-2153
(951) 659-5571
Mailing address
PO BOX 656, 54160 MARANATHA DRIVE, IDYLLWILD, CA 92549-0656
(951) 659-2153
(951) 659-5571
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ41268Z
MEDICARE/MEDICAL
CA
Enumeration date
03/23/2007
Last updated
12/06/2017
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