Provider Demographics
NPI:1801479076
Name:RINCON BAND OF LUISENO MISSION INDIANS
Entity type:Organization
Organization Name:RINCON BAND OF LUISENO MISSION INDIANS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:CHIP
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-297-2320
Mailing Address - Street 1:1 GOVERNMENT CENTER LN
Mailing Address - Street 2:
Mailing Address - City:VALLEY CENTER
Mailing Address - State:CA
Mailing Address - Zip Code:92082-5344
Mailing Address - Country:US
Mailing Address - Phone:760-297-2300
Mailing Address - Fax:760-297-2320
Practice Address - Street 1:33485 VALLEY CENTER RD
Practice Address - Street 2:
Practice Address - City:VALLEY CENTER
Practice Address - State:CA
Practice Address - Zip Code:92082-6047
Practice Address - Country:US
Practice Address - Phone:760-297-2300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-04
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance