Kirkwood Fire Department

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

KIRKWOOD FIRE DEPARTMENT

Practice address

40 Loop Rd
Kirkwood, CA 95646

Phone

(209) 258-2203

NPI assigned

May 11, 2007

Last updated

Sep 17, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter Tabacco

Title

Fire Chief

Phone

(209) 258-2203

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189987200000",
    "number": "1134334329",
    "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": "40 LOOP RD",
            "city": "KIRKWOOD",
            "state": "CA",
            "postal_code": "95646",
            "telephone_number": "209-258-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRKWOOD FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-09-17",
        "status": "A",
        "authorized_official_last_name": "TABACCO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "209-258-2203"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; 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.