Active NPI
Bodega Bay Fire Protection District
- Land Ambulance
- Bodega Bay, CA
National Provider Identifier
1740289651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- BODEGA BAY FIRE PROTECTION DISTRICT
- Practice address
- 510 S Highway 1
Bodega Bay, CA 94923-9772 - Phone
- (707) 875-3700
- NPI assigned
- Jul 21, 2005
- Last updated
- Oct 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sean Grinnell
- Title
- Fire Chief
- Phone
- (707) 875-3700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
510 S Highway 1
Bodega Bay, CA 94923-9772
Mailing address
PO Box 269110
Sacramento, CA 95826-9110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MTE00304F | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192579200000",
"number": "1740289651",
"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": "510 S HIGHWAY 1",
"city": "BODEGA BAY",
"state": "CA",
"postal_code": "949239772",
"telephone_number": "707-875-3700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BODEGA BAY FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-21",
"last_updated": "2007-10-17",
"status": "A",
"authorized_official_last_name": "GRINNELL",
"authorized_official_first_name": "SEAN",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "707-875-3700"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MTE00304F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bodega Bay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.