Provider Demographics
NPI:1487018628
Name:STICKNEY VOLUNTEER FIRE DEPARTMENT
Entity Type:Organization
Organization Name:STICKNEY VOLUNTEER FIRE DEPARTMENT
Other - Org Name:STICKNEY FIRE & EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AMBULANCE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SAUVAGE
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:605-680-4706
Mailing Address - Street 1:201 MAIN STREET
Mailing Address - Street 2:PO BOX 271
Mailing Address - City:STICKNEY
Mailing Address - State:SD
Mailing Address - Zip Code:57375-0271
Mailing Address - Country:US
Mailing Address - Phone:605-732-4329
Mailing Address - Fax:
Practice Address - Street 1:201 MAIN STREET
Practice Address - Street 2:
Practice Address - City:STICKNEY
Practice Address - State:SD
Practice Address - Zip Code:57375-0271
Practice Address - Country:US
Practice Address - Phone:605-732-4329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-13
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport