Provider Demographics
NPI:1346696259
Name:HELLSGATE FIRE DISTRICT
Entity Type:Organization
Organization Name:HELLSGATE FIRE DISTRICT
Other - Org Name:RIM COUNTRY FIRE AND MEDICAL SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BATHKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-474-3835
Mailing Address - Street 1:80 S WALTERS LN
Mailing Address - Street 2:
Mailing Address - City:PAYSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85541-2589
Mailing Address - Country:US
Mailing Address - Phone:928-474-3835
Mailing Address - Fax:
Practice Address - Street 1:80 S WALTERS LN
Practice Address - Street 2:
Practice Address - City:PAYSON
Practice Address - State:AZ
Practice Address - Zip Code:85541-2589
Practice Address - Country:US
Practice Address - Phone:928-474-3835
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-10
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Single Specialty