Provider Demographics
NPI:1851980973
Name:BIENVILLE PARISH WARD 4 & 5 FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:BIENVILLE PARISH WARD 4 & 5 FIRE PROTECTION DISTRICT
Other - Org Name:BIENVILLE PARISH WARD 4 & 5 FIRE PROTECTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:L
Authorized Official - Last Name:CONLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-422-2144
Mailing Address - Street 1:PO BOX 868
Mailing Address - Street 2:
Mailing Address - City:RINGGOLD
Mailing Address - State:LA
Mailing Address - Zip Code:71068-0868
Mailing Address - Country:US
Mailing Address - Phone:318-894-9120
Mailing Address - Fax:318-894-9122
Practice Address - Street 1:1721 MILITARY RD
Practice Address - Street 2:
Practice Address - City:RINGGOLD
Practice Address - State:LA
Practice Address - Zip Code:71068-2587
Practice Address - Country:US
Practice Address - Phone:318-894-9120
Practice Address - Fax:318-894-9122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-13
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport