Provider Demographics
NPI:1407992225
Name:SNI VALLEY FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:SNI VALLEY FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-690-6990
Mailing Address - Street 1:PO BOX 55
Mailing Address - Street 2:
Mailing Address - City:WATSONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17777-0055
Mailing Address - Country:US
Mailing Address - Phone:570-538-4488
Mailing Address - Fax:570-538-1556
Practice Address - Street 1:1601 S BROADWAY ST
Practice Address - Street 2:
Practice Address - City:OAK GROVE
Practice Address - State:MO
Practice Address - Zip Code:64075-9023
Practice Address - Country:US
Practice Address - Phone:816-690-6990
Practice Address - Fax:816-690-6191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0952653416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO00882OtherRAIL ROAD MEDICARE
MO20657011OtherBLUE CROSS
MO9003893Medicare ID - Type UnspecifiedMEDICARE NUMBER