Provider Demographics
NPI:1801184916
Name:TONOPAH VALLEY FIRE DISTRICT
Entity Type:Organization
Organization Name:TONOPAH VALLEY FIRE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEIF
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:WELDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-393-0105
Mailing Address - Street 1:36511 W SALOME HWY
Mailing Address - Street 2:P O BOX 67
Mailing Address - City:TONOPAH
Mailing Address - State:AZ
Mailing Address - Zip Code:85354-7713
Mailing Address - Country:US
Mailing Address - Phone:623-393-0105
Mailing Address - Fax:623-393-0106
Practice Address - Street 1:36511 W SALOME HWY
Practice Address - Street 2:
Practice Address - City:TONOPAH
Practice Address - State:AZ
Practice Address - Zip Code:85354-7713
Practice Address - Country:US
Practice Address - Phone:623-393-0105
Practice Address - Fax:623-393-0106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-11
Last Update Date:2011-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance