Provider Demographics
NPI:1558428466
Name:NORTH LAKE TAHOE FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:NORTH LAKE TAHOE FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:L
Authorized Official - Last Name:CARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-833-8108
Mailing Address - Street 1:866 ORIOLE WAY
Mailing Address - Street 2:
Mailing Address - City:INCLINE VILLAGE
Mailing Address - State:NV
Mailing Address - Zip Code:89451
Mailing Address - Country:US
Mailing Address - Phone:775-831-0351
Mailing Address - Fax:775-831-2072
Practice Address - Street 1:866 ORIOLE WAY
Practice Address - Street 2:
Practice Address - City:INCLINE VILLAGE
Practice Address - State:NV
Practice Address - Zip Code:89451
Practice Address - Country:US
Practice Address - Phone:775-831-0351
Practice Address - Fax:775-831-2072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV003216110Medicaid
NV590001699Medicare PIN
NVV880145803Medicare PIN
NV003216110Medicaid