Provider Demographics
NPI:1053623405
Name:LATHROP-MANTECA FIRE PROTECTION DISTRICT
Entity type:Organization
Organization Name:LATHROP-MANTECA FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY FIRE CHIEF/FIRE MARSHALL
Authorized Official - Prefix:
Authorized Official - First Name:GENE
Authorized Official - Middle Name:
Authorized Official - Last Name:NEELY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-858-2331
Mailing Address - Street 1:800 J ST
Mailing Address - Street 2:
Mailing Address - City:LATHROP
Mailing Address - State:CA
Mailing Address - Zip Code:95330-8909
Mailing Address - Country:US
Mailing Address - Phone:209-858-2331
Mailing Address - Fax:209-858-1180
Practice Address - Street 1:800 J ST
Practice Address - Street 2:
Practice Address - City:LATHROP
Practice Address - State:CA
Practice Address - Zip Code:95330-8909
Practice Address - Country:US
Practice Address - Phone:209-858-2331
Practice Address - Fax:209-858-1180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-13
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Multi-Specialty