Organization
PENINSULA FIRE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HOLLY C COONS (ADMINISTRATIVE SECRETARY)
(530) 259-2306
Entity
Organization
Contact information
Practice address
801 GOLF CLUB RD, LAKE ALMANOR, CA 96137
(530) 259-2306
(530) 259-3707
Mailing address
801 GOLF CLUB RD, LAKE ALMANOR, CA 96137-9524
(530) 259-2306
(530) 259-3707
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
CA
3416S0300X
Water Ambulance
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APENI977H
BLUE CROSS
CA
05
—
MTE00760F
—
CA
01
—
ZZZ65564Z
BLUE SHIELD
CA
Enumeration date
01/22/2007
Last updated
07/21/2022
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