Provider Demographics
NPI:1497801526
Name:ROCKVILLE SPRINGDALE FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:ROCKVILLE SPRINGDALE FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-772-3220
Mailing Address - Street 1:80 NORTH 300 WEST
Mailing Address - Street 2:PO BOX 126
Mailing Address - City:TROPIC
Mailing Address - State:UT
Mailing Address - Zip Code:84776-0126
Mailing Address - Country:US
Mailing Address - Phone:435-679-8710
Mailing Address - Fax:435-679-8711
Practice Address - Street 1:STATE ROUTE 9
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:UT
Practice Address - Zip Code:84767
Practice Address - Country:US
Practice Address - Phone:435-772-3220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2731L3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT=========008Medicaid