Russian River Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

RUSSIAN RIVER FIRE PROTECTION DISTRICT

Practice address

14100 Armstrong Woods Rd
Guerneville, CA 95446-9511

Phone

(707) 869-9089

NPI assigned

Jul 21, 2005

Organization subpart

No

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

Authorized official

Name

Heidi Flowers

Title

Administrative Assistant

Phone

(707) 869-9089

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1982604815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "GUERNEVILLE",
            "state": "CA",
            "postal_code": "954460367",
            "telephone_number": "707-869-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 ARMSTRONG WOODS RD",
            "city": "GUERNEVILLE",
            "state": "CA",
            "postal_code": "954469511",
            "telephone_number": "707-869-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSIAN RIVER FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "707-869-9089"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRB",
            "identifier": "590012257",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE00070F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Guerneville, CA
• Providers in Guerneville, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.