Provider Demographics
NPI:1518042720
Name:HERMISTON FIRE & EMERGENCY
Entity Type:Organization
Organization Name:HERMISTON FIRE & EMERGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:SPIKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-567-8822
Mailing Address - Street 1:320 S 1ST ST
Mailing Address - Street 2:
Mailing Address - City:HERMISTON
Mailing Address - State:OR
Mailing Address - Zip Code:97838-2360
Mailing Address - Country:US
Mailing Address - Phone:541-567-8822
Mailing Address - Fax:541-564-6463
Practice Address - Street 1:320 S 1ST ST
Practice Address - Street 2:
Practice Address - City:HERMISTON
Practice Address - State:OR
Practice Address - Zip Code:97838-2360
Practice Address - Country:US
Practice Address - Phone:541-567-8822
Practice Address - Fax:541-564-6463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3003-063416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9576307Medicaid
OR230518Medicaid
000991000OtherBLUE CROSS/BLUE SHIELD
590012536OtherPALMETTO GBA
WA9576307Medicaid