Provider Demographics
NPI:1407015670
Name:BLANKENSHIP RURAL FIRE DISTRICT
Entity Type:Organization
Organization Name:BLANKENSHIP RURAL FIRE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRAINING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:EDGAR
Authorized Official - Middle Name:I
Authorized Official - Last Name:BURLINGAME
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-F
Authorized Official - Phone:406-249-0745
Mailing Address - Street 1:PO BOX 2377
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59912-2377
Mailing Address - Country:US
Mailing Address - Phone:406-387-4349
Mailing Address - Fax:406-387-4349
Practice Address - Street 1:4520 BLANKENSHIP RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA FALLS
Practice Address - State:MT
Practice Address - Zip Code:59912-2377
Practice Address - Country:US
Practice Address - Phone:406-387-4349
Practice Address - Fax:406-387-4349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-03
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT202251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable