Kelseyville Fire Protection District
Organization Active NPI Land Ambulance · Kelseyville, CA
NPI 1346246261 · NPPES record last updated Apr 29, 2026
Key facts
- NPI
- 1346246261
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- KELSEYVILLE FIRE PROTECTION DISTRICT
- Practice address
- 4020 Main St
Kelseyville, CA 95451-7410 - Phone
- (707) 279-4268
- NPI assigned
- Jun 24, 2005
- Organization subpart
- No
Authorized official
- Name
- Joey Huggins
- Title
- Fire Chief
- Phone
- (707) 279-4268
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120223000660 | CA | Part B Supplier - Ambulance Service Supplier | 6608034517 | Practice locations: Kelseyville, CA |
National Provider Directory
Locations
4020 Main St
Kelseyville, CA 95451
Phone (707) 279-4268
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
4020 Main St
Kelseyville, CA 95451-7410
Mailing address
PO Box 2405
Santa Rosa, CA 95405-0405
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590006420 | Other | RRB | |
| MTE00513F | Medicaid | CA |
Other providers in Kelseyville, CA
- Prasong Iamsurey
- Indigenous Futures Foundation Inc.
- Claire Johnson
- Eileen R Kalk
- Pearly Pearly Karunakaran
- Kelseyville Unified School District
- Kirk G Andrus MD
- Heather Kristine Kriken
- Lake County Office of Education
- Lake County Office of Education
All providers in Kelseyville, CA · Land Ambulance in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.