Provider Demographics
NPI:1407885320
Name:HIGHMORE VOLUNTEER FIRE DEPT INC
Entity Type:Organization
Organization Name:HIGHMORE VOLUNTEER FIRE DEPT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNT REPRESENTATIVE
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-882-9911
Mailing Address - Street 1:200 COMMERCIAL AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHMORE
Mailing Address - State:SD
Mailing Address - Zip Code:57345
Mailing Address - Country:US
Mailing Address - Phone:877-882-9911
Mailing Address - Fax:187-788-2992
Practice Address - Street 1:200 COMMERCIAL AVE
Practice Address - Street 2:
Practice Address - City:HIGHMORE
Practice Address - State:SD
Practice Address - Zip Code:57345
Practice Address - Country:US
Practice Address - Phone:877-882-9911
Practice Address - Fax:877-882-9922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD3813416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD9011450Medicaid
SDS99068Medicare PIN