Provider Demographics
NPI:1528109212
Name:CITY OF FOUNTAIN VALLEY
Entity type:Organization
Organization Name:CITY OF FOUNTAIN VALLEY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCQUAID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-593-4436
Mailing Address - Street 1:10200 SLATER AVE
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-4736
Mailing Address - Country:US
Mailing Address - Phone:714-288-3800
Mailing Address - Fax:714-288-3891
Practice Address - Street 1:10200 SLATER AVE
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-4736
Practice Address - Country:US
Practice Address - Phone:714-288-3800
Practice Address - Fax:714-288-3891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes341600000XTransportation ServicesAmbulance
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Multi-Specialty
No3416L0300XTransportation ServicesAmbulanceLand Transport