Provider Demographics
NPI:1356422430
Name:RYDER-MAKOTI RURAL FIRE PROTECTION DISTRICT
Entity type:Organization
Organization Name:RYDER-MAKOTI RURAL FIRE PROTECTION DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SQUAD LEADER
Authorized Official - Prefix:
Authorized Official - First Name:JODY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:REINISCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-758-2271
Mailing Address - Street 1:PO BOX 13
Mailing Address - Street 2:
Mailing Address - City:MAKOTI
Mailing Address - State:ND
Mailing Address - Zip Code:58756-0013
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:61ST 2ND AVE E
Practice Address - Street 2:
Practice Address - City:MAKOTI
Practice Address - State:ND
Practice Address - Zip Code:58756
Practice Address - Country:US
Practice Address - Phone:701-726-5519
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RYDER-MAKOTI RURAL FIRE PROTECTION DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-17
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND075341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND58113Medicaid
ND11551OtherBLUE CROSS BLUE SHEILD
NDN7703Medicare ID - Type Unspecified