Provider Demographics
NPI:1255145371
Name:PAGE FIRE AND RESCUE
Entity type:Organization
Organization Name:PAGE FIRE AND RESCUE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBULANCE SQUAD CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:JONI
Authorized Official - Middle Name:
Authorized Official - Last Name:ISOM
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:402-340-0924
Mailing Address - Street 1:PO BOX 158
Mailing Address - Street 2:
Mailing Address - City:PAGE
Mailing Address - State:NE
Mailing Address - Zip Code:68766-0158
Mailing Address - Country:US
Mailing Address - Phone:402-340-0924
Mailing Address - Fax:
Practice Address - Street 1:106 N 5TH ST
Practice Address - Street 2:
Practice Address - City:PAGE
Practice Address - State:NE
Practice Address - Zip Code:68766-5018
Practice Address - Country:US
Practice Address - Phone:402-338-5901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PAGE FIRE DEPARTMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty