Organization
BODEGA BAY FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN GRINNELL (FIRE CHIEF)
(707) 875-3700
Entity
Organization
Contact information
Practice address
510 S HIGHWAY 1, BODEGA BAY, CA 94923-9772
(707) 875-3700
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
05
—
MTE00304F
—
CA
Enumeration date
07/21/2005
Last updated
10/17/2007
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