Provider Demographics
NPI:1639166945
Name:LONE PINE FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:LONE PINE FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING AGENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORIE
Authorized Official - Middle Name:
Authorized Official - Last Name:VERKUYL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-375-3776
Mailing Address - Street 1:PO BOX 1007
Mailing Address - Street 2:
Mailing Address - City:LONE PINE
Mailing Address - State:CA
Mailing Address - Zip Code:93545-1007
Mailing Address - Country:US
Mailing Address - Phone:760-876-4626
Mailing Address - Fax:760-375-3746
Practice Address - Street 1:131 N JACKSON ST
Practice Address - Street 2:
Practice Address - City:LONE PINE
Practice Address - State:CA
Practice Address - Zip Code:93545
Practice Address - Country:US
Practice Address - Phone:760-876-4626
Practice Address - Fax:760-375-3746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-03
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMTE00781FMedicaid
CAMTE00781FMedicaid