Provider Demographics
NPI:1558668889
Name:ROGUE RIVER RURAL FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:ROGUE RIVER RURAL FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:BENNY
Authorized Official - Middle Name:G
Authorized Official - Last Name:RAMSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-582-4411
Mailing Address - Street 1:PO BOX 1170
Mailing Address - Street 2:
Mailing Address - City:ROGUE RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97537-1170
Mailing Address - Country:US
Mailing Address - Phone:541-582-4411
Mailing Address - Fax:541-582-3456
Practice Address - Street 1:5474 N RIVER RD
Practice Address - Street 2:
Practice Address - City:GOLD HILL
Practice Address - State:OR
Practice Address - Zip Code:97525-5734
Practice Address - Country:US
Practice Address - Phone:541-582-4411
Practice Address - Fax:541-582-3456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-23
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1550-06341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR1407878374OtherNPI FOR AMBULANCE SERVICE
OR036660Medicaid
ORW20236Medicare UPIN