Provider Demographics
NPI:1578552923
Name:FALL RIVER COMMUNITY FIRE DISTRICT
Entity Type:Organization
Organization Name:FALL RIVER COMMUNITY FIRE DISTRICT
Other - Org Name:FALL RIVER FIRE & EMS DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS COORDINATOR / ASST. FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:DENNIS
Authorized Official - Last Name:BEERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-484-3808
Mailing Address - Street 1:450 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:WI
Mailing Address - Zip Code:53932-9404
Mailing Address - Country:US
Mailing Address - Phone:920-484-3808
Mailing Address - Fax:920-484-3902
Practice Address - Street 1:450 SOUTH ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:WI
Practice Address - Zip Code:53932-9404
Practice Address - Country:US
Practice Address - Phone:920-484-3808
Practice Address - Fax:920-484-3902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6000372341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance