Provider Demographics
NPI:1346464666
Name:SOUTHERN INYO FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:SOUTHERN INYO FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CHAIRPERSON
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:K
Authorized Official - Last Name:FLINCHUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-852-4941
Mailing Address - Street 1:P.O. BOX 51
Mailing Address - Street 2:
Mailing Address - City:TECOPA
Mailing Address - State:CA
Mailing Address - Zip Code:92389-0051
Mailing Address - Country:US
Mailing Address - Phone:760-852-4130
Mailing Address - Fax:760-852-4130
Practice Address - Street 1:410 TECOPA HOT SPRINGS RD
Practice Address - Street 2:
Practice Address - City:TECOPA
Practice Address - State:CA
Practice Address - Zip Code:92389-0051
Practice Address - Country:US
Practice Address - Phone:760-852-4130
Practice Address - Fax:760-852-4130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMTE00933FMedicaid
CAMTE00933FMedicaid