Provider Demographics
NPI:1851069207
Name:PILOT ROCK RURAL FIRE PROTECTION
Entity Type:Organization
Organization Name:PILOT ROCK RURAL FIRE PROTECTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOOKKEEPER
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-443-3473
Mailing Address - Street 1:PO BOX 877
Mailing Address - Street 2:
Mailing Address - City:PILOT ROCK
Mailing Address - State:OR
Mailing Address - Zip Code:97868-0877
Mailing Address - Country:US
Mailing Address - Phone:541-443-3473
Mailing Address - Fax:
Practice Address - Street 1:415 NE ELM
Practice Address - Street 2:
Practice Address - City:PILOT ROCK
Practice Address - State:OR
Practice Address - Zip Code:97868
Practice Address - Country:US
Practice Address - Phone:541-443-3473
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-01
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport