Provider Demographics
NPI:1295516219
Name:NORTH SUMMIT FIRE SERVICE DISTRICT
Entity type:Organization
Organization Name:NORTH SUMMIT FIRE SERVICE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:NIELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-336-2221
Mailing Address - Street 1:PO BOX 187
Mailing Address - Street 2:
Mailing Address - City:COALVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84017-0187
Mailing Address - Country:US
Mailing Address - Phone:435-336-2221
Mailing Address - Fax:
Practice Address - Street 1:310 S HENEFER ROAD
Practice Address - Street 2:
Practice Address - City:HENEFER
Practice Address - State:UT
Practice Address - Zip Code:84033
Practice Address - Country:US
Practice Address - Phone:435-336-2221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-06
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport