Provider Demographics
NPI:1609306620
Name:COUNTY OF WALTON OFFICE OF SHERIFF
Entity Type:Organization
Organization Name:COUNTY OF WALTON OFFICE OF SHERIFF
Other - Org Name:WALTON COUNTY FIRE RESCUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:D
Authorized Official - Last Name:VAUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-892-6162
Mailing Address - Street 1:752 TRIPLE G RD
Mailing Address - Street 2:
Mailing Address - City:DEFUNIAK SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32433-5606
Mailing Address - Country:US
Mailing Address - Phone:850-951-7306
Mailing Address - Fax:850-331-6350
Practice Address - Street 1:752 TRIPLE G RD
Practice Address - Street 2:
Practice Address - City:DEFUNIAK SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32433-5606
Practice Address - Country:US
Practice Address - Phone:850-951-7306
Practice Address - Fax:850-331-6350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-13
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport