Provider Demographics
NPI:1437476579
Name:FAIRFIELD RURAL FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:FAIRFIELD RURAL FIRE PROTECTION DISTRICT
Other - Org Name:FAIRFIELD VOL. FIRE DEPT.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEJEZEHLEB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-572-4019
Mailing Address - Street 1:PO BOX 641880
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-7880
Mailing Address - Country:US
Mailing Address - Phone:402-572-4019
Mailing Address - Fax:402-965-8594
Practice Address - Street 1:504 NORTH D STREET
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:NE
Practice Address - Zip Code:68938
Practice Address - Country:US
Practice Address - Phone:402-726-2540
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-29
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11143416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport