Provider Demographics
NPI:1386682342
Name:MIST BIRKENFELD RURAL FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:MIST BIRKENFELD RURAL FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-755-2710
Mailing Address - Street 1:12525 HIGHWAY 202
Mailing Address - Street 2:
Mailing Address - City:MIST
Mailing Address - State:OR
Mailing Address - Zip Code:97016-7219
Mailing Address - Country:US
Mailing Address - Phone:503-755-2710
Mailing Address - Fax:503-755-2556
Practice Address - Street 1:12525 HIGHWAY 202
Practice Address - Street 2:
Practice Address - City:MIST
Practice Address - State:OR
Practice Address - Zip Code:97016-7219
Practice Address - Country:US
Practice Address - Phone:503-755-2710
Practice Address - Fax:503-755-2556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR0507-063416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR281097Medicaid
OR281097Medicaid