Provider Demographics
NPI:1053505917
Name:CHUGIAK VOLUNTEER FIRE & RESCUE INC
Entity Type:Organization
Organization Name:CHUGIAK VOLUNTEER FIRE & RESCUE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:BARTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-267-2269
Mailing Address - Street 1:PO BOX 670363
Mailing Address - Street 2:
Mailing Address - City:CHUGIAK
Mailing Address - State:AK
Mailing Address - Zip Code:99567-0363
Mailing Address - Country:US
Mailing Address - Phone:907-688-2010
Mailing Address - Fax:907-694-2014
Practice Address - Street 1:17214 OLD GLENN HWY
Practice Address - Street 2:
Practice Address - City:CHUGIAK
Practice Address - State:AK
Practice Address - Zip Code:99567
Practice Address - Country:US
Practice Address - Phone:907-688-2686
Practice Address - Fax:907-694-2014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-04
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport