INDEPENDENCE VOLUNTEER FIRE DEPT., INC.; NPI #1073646725

Contact Information

INDEPENDENCE VOLUNTEER FIRE DEPT., INC.

200 SOUTH JACKSON STREET
INDEPENDENCE, CA 93526

Phone: 760-878-2113
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for INDEPENDENCE VOLUNTEER FIRE DEPT., INC.

NPI # 1073646725

LBN Legal business name INDEPENDENCE VOLUNTEER FIRE DEPT., INC.

Authorized official JOE CAPELLO - (FIRE CHIEF)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/13/2007

Last updated 07/19/2018 - About 8 years ago

Identifiers

Medicaid

MTE00886F

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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