Provider Demographics
NPI:1942071006
Name:CENTRAL DOUGLAS FIRE & RESCUE AUTHORITY
Entity Type:Organization
Organization Name:CENTRAL DOUGLAS FIRE & RESCUE AUTHORITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:MARGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GIUSTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-679-8721
Mailing Address - Street 1:PO BOX 1060
Mailing Address - Street 2:
Mailing Address - City:WINSTON
Mailing Address - State:OR
Mailing Address - Zip Code:97496-1060
Mailing Address - Country:US
Mailing Address - Phone:541-673-5503
Mailing Address - Fax:
Practice Address - Street 1:250 SE MAIN ST
Practice Address - Street 2:
Practice Address - City:WINSTON
Practice Address - State:OR
Practice Address - Zip Code:97496-6566
Practice Address - Country:US
Practice Address - Phone:541-673-5503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Multi-Specialty