Provider Demographics
NPI:1467873851
Name:WILLIAMSON VALLEY FIRE DISTRICT
Entity Type:Organization
Organization Name:WILLIAMSON VALLEY FIRE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-717-2304
Mailing Address - Street 1:PO BOX 747
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-0747
Mailing Address - Country:US
Mailing Address - Phone:800-244-2345
Mailing Address - Fax:800-329-5274
Practice Address - Street 1:15450 N WILLIAMSON VALLEY RD
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86305-5701
Practice Address - Country:US
Practice Address - Phone:928-717-2304
Practice Address - Fax:928-717-1994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-02
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1353416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport