Provider Demographics
NPI:1336786227
Name:PIONEER FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:PIONEER FIRE PROTECTION DISTRICT
Other - Org Name:PIONEER FIRE DISTRICT
Other - Org Type:Other Name
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:530-620-4444
Mailing Address - Street 1:PO 128
Mailing Address - Street 2:7061 MOUNT AUKUM RD
Mailing Address - City:SOMERSET
Mailing Address - State:CA
Mailing Address - Zip Code:95684
Mailing Address - Country:US
Mailing Address - Phone:530-620-4444
Mailing Address - Fax:
Practice Address - Street 1:7061 MOUNT AUKUM RD
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:CA
Practice Address - Zip Code:95684-9568
Practice Address - Country:US
Practice Address - Phone:530-620-4444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-10
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance