Provider Demographics
NPI:1033384508
Name:SUN LAKES FIRE DISTRICT
Entity Type:Organization
Organization Name:SUN LAKES FIRE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:S
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-895-9343
Mailing Address - Street 1:PO BOX 52625
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85072-2625
Mailing Address - Country:US
Mailing Address - Phone:602-522-1522
Mailing Address - Fax:602-522-2552
Practice Address - Street 1:25020 S ALMA SCHOOL RD
Practice Address - Street 2:
Practice Address - City:SUN LAKES
Practice Address - State:AZ
Practice Address - Zip Code:85248-6100
Practice Address - Country:US
Practice Address - Phone:480-895-9343
Practice Address - Fax:480-895-6899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-25
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ123416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ82970Medicare PIN