Provider Demographics
NPI:1487822532
Name:RAFT RIVER FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:RAFT RIVER FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTRACT BOOKKEEPING
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:A
Authorized Official - Last Name:LIGHTFOOT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-645-2498
Mailing Address - Street 1:PO BOX 114
Mailing Address - Street 2:
Mailing Address - City:MALTA
Mailing Address - State:ID
Mailing Address - Zip Code:83342
Mailing Address - Country:US
Mailing Address - Phone:208-645-2498
Mailing Address - Fax:208-645-2300
Practice Address - Street 1:55 WEST 1ST NORTH
Practice Address - Street 2:AMBULANCE HOUSE
Practice Address - City:MALTA
Practice Address - State:ID
Practice Address - Zip Code:83342
Practice Address - Country:US
Practice Address - Phone:208-645-2498
Practice Address - Fax:208-645-2300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-12
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID5509341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance