Provider Demographics
NPI:1568467264
Name:CITY OF HUNTINGTON BEACH
Entity type:Organization
Organization Name:CITY OF HUNTINGTON BEACH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:M
Authorized Official - Last Name:HABERLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-536-5411
Mailing Address - Street 1:PO BOX 190
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-0190
Mailing Address - Country:US
Mailing Address - Phone:714-374-1598
Mailing Address - Fax:
Practice Address - Street 1:2000 MAIN ST
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-2702
Practice Address - Country:US
Practice Address - Phone:714-374-1598
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-17
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA590005829OtherRRB
CAMTE00756FMedicaid
CAZA446Medicare PIN