Organization
SOUTH PLACER FIRE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BROOKS (EMS CAPTAIN)
(916) 791-7059
Entity
Organization
Contact information
Practice address
6900 EUREKA RD, GRANITE BAY, CA 95746-6531
(916) 791-7059
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
—
MTE00823F
—
CA
Enumeration date
07/27/2005
Last updated
10/18/2007
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