Provider Demographics
NPI:1114080363
Name:DONNELLY RURAL FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:DONNELLY RURAL FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELONIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SKIFTUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-325-8619
Mailing Address - Street 1:PO BOX 1178
Mailing Address - Street 2:
Mailing Address - City:DONNELLY
Mailing Address - State:ID
Mailing Address - Zip Code:83615-1100
Mailing Address - Country:US
Mailing Address - Phone:208-325-8619
Mailing Address - Fax:208-325-5081
Practice Address - Street 1:244 W ROSEBERRY RD
Practice Address - Street 2:
Practice Address - City:DONNELLY
Practice Address - State:ID
Practice Address - Zip Code:83615-0382
Practice Address - Country:US
Practice Address - Phone:208-325-8619
Practice Address - Fax:208-325-5081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID74233416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID=========OtherTAX ID #