Provider Demographics
NPI:1629960778
Name:CITY OF HOLLISTER
Entity type:Organization
Organization Name:CITY OF HOLLISTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:JARRED
Authorized Official - Middle Name:S
Authorized Official - Last Name:UTZIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-318-8057
Mailing Address - Street 1:110 5TH ST
Mailing Address - Street 2:
Mailing Address - City:HOLLISTER
Mailing Address - State:CA
Mailing Address - Zip Code:95023-3985
Mailing Address - Country:US
Mailing Address - Phone:831-636-4325
Mailing Address - Fax:
Practice Address - Street 1:110 5TH ST
Practice Address - Street 2:
Practice Address - City:HOLLISTER
Practice Address - State:CA
Practice Address - Zip Code:95023-3985
Practice Address - Country:US
Practice Address - Phone:831-636-4325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Multi-Specialty
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Multi-Specialty
No341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport