Provider Demographics
NPI:1861674400
Name:MCMULLEN VALLEY FIRE DISTRICT
Entity Type:Organization
Organization Name:MCMULLEN VALLEY FIRE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTIJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-859-3261
Mailing Address - Street 1:PO BOX 25
Mailing Address - Street 2:
Mailing Address - City:SALOME
Mailing Address - State:AZ
Mailing Address - Zip Code:85348-0025
Mailing Address - Country:US
Mailing Address - Phone:928-859-3261
Mailing Address - Fax:928-859-4821
Practice Address - Street 1:66998 E. SALOME RD.
Practice Address - Street 2:
Practice Address - City:SALOME
Practice Address - State:AZ
Practice Address - Zip Code:85348
Practice Address - Country:US
Practice Address - Phone:928-859-3261
Practice Address - Fax:928-859-4287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-05
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare