Organization Active NPI

Ocotillo Wells Fire Rescue Department

  • Land Ambulance
  • Borrego Springs, CA
National Provider Identifier
1104806926
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
OCOTILLO WELLS FIRE RESCUE DEPARTMENT
Practice address
5841 Highway 78
Borrego Springs, CA 92004-5612
Phone
(760) 767-7430
NPI assigned
Jan 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Charles T Gann
Title
Fire Chief
Phone
(760) 767-7430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

5841 Highway 78
Borrego Springs, CA 92004-5612

Mailing address

PO Box 269110
Sacramento, CA 95826-9110

National Provider Directory

National Provider Directory

Locations

5841 Highway 78
Borrego Springs, CA 92004
Phone (760) 767-7430

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104806926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958269110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 HIGHWAY 78",
            "city": "BORREGO SPRINGS",
            "state": "CA",
            "postal_code": "920045612",
            "telephone_number": "760-767-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCOTILLO WELLS FIRE RESCUE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GANN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "760-767-7430"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Borrego Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.