Provider Demographics
NPI:1528392602
Name:ALPINE FIRE DISTRICT
Entity Type:Organization
Organization Name:ALPINE FIRE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF / EMT
Authorized Official - Prefix:MR
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:NOTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-245-1118
Mailing Address - Street 1:PO BOX 227
Mailing Address - Street 2:
Mailing Address - City:ALPINE
Mailing Address - State:AZ
Mailing Address - Zip Code:85920-0227
Mailing Address - Country:US
Mailing Address - Phone:928-339-4814
Mailing Address - Fax:
Practice Address - Street 1:42688 HIGHWAY 180
Practice Address - Street 2:
Practice Address - City:ALPINE
Practice Address - State:AZ
Practice Address - Zip Code:85920
Practice Address - Country:US
Practice Address - Phone:928-339-4814
Practice Address - Fax:928-339-4290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-23
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ61566146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Single Specialty