Provider Demographics
NPI:1275747776
Name:SUNSHINE SUMMIT VOLUNTEER FIRE DEPARTMENT
Entity Type:Organization
Organization Name:SUNSHINE SUMMIT VOLUNTEER FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-782-9113
Mailing Address - Street 1:35227 HIGHWAY 79
Mailing Address - Street 2:
Mailing Address - City:WARNER SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92086-9713
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:35227 HIGHWAY 79
Practice Address - Street 2:
Practice Address - City:WARNER SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92086-9713
Practice Address - Country:US
Practice Address - Phone:760-782-9113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance