Provider Demographics
NPI:1669505756
Name:BIG PINE FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:BIG PINE FIRE PROTECTION DISTRICT
Other - Org Name:BIG PINE VOLUNTEER FIRE DEPT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-938-2600
Mailing Address - Street 1:PO BOX 382
Mailing Address - Street 2:
Mailing Address - City:BIG PINE
Mailing Address - State:CA
Mailing Address - Zip Code:93513-0382
Mailing Address - Country:US
Mailing Address - Phone:760-938-2600
Mailing Address - Fax:
Practice Address - Street 1:181 NORTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:BIG PINE
Practice Address - State:CA
Practice Address - Zip Code:93513
Practice Address - Country:US
Practice Address - Phone:760-938-2600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ22939ZMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER