Provider Demographics
NPI:1275686685
Name:KUNA FIRE DEPARTMENT
Entity Type:Organization
Organization Name:KUNA FIRE DEPARTMENT
Other - Org Name:KUNA RURAL FIRE DISTRICT & AMBULANCE SERVICE
Other - Org Type:Other Name
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:STEAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-922-1144
Mailing Address - Street 1:PO BOX 607
Mailing Address - Street 2:
Mailing Address - City:KUNA
Mailing Address - State:ID
Mailing Address - Zip Code:83634-0607
Mailing Address - Country:US
Mailing Address - Phone:208-922-1144
Mailing Address - Fax:208-922-1135
Practice Address - Street 1:150 W BOISE ST
Practice Address - Street 2:
Practice Address - City:KUNA
Practice Address - State:ID
Practice Address - Zip Code:83634-0607
Practice Address - Country:US
Practice Address - Phone:208-922-1144
Practice Address - Fax:208-922-1135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID7403341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID000010014463OtherREGENCE BLUESHIELD OF ID
IDE0476OtherBLUE CROSS TRUE BLUE
ID002441700Medicaid
ID70741OtherBLUE SHIELD
ID1501069Medicare ID - Type UnspecifiedALS AMBULANCE