Provider Demographics
NPI:1376598755
Name:TRI-VALLEY VOLUNTEER FIRE DEPARTMENT
Entity Type:Organization
Organization Name:TRI-VALLEY VOLUNTEER FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-683-2223
Mailing Address - Street 1:PO BOX 146
Mailing Address - Street 2:
Mailing Address - City:HEALY
Mailing Address - State:AK
Mailing Address - Zip Code:99743-0146
Mailing Address - Country:US
Mailing Address - Phone:907-683-2223
Mailing Address - Fax:907-683-1351
Practice Address - Street 1:5 HEALY SPUR ROAD
Practice Address - Street 2:
Practice Address - City:HEALY
Practice Address - State:AK
Practice Address - Zip Code:99743-0146
Practice Address - Country:US
Practice Address - Phone:907-683-2223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK25367341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKGA0300Medicaid
AKGA0300Medicaid