Provider Demographics
NPI:1649970187
Name:JEFFERSON COUNTY RURAL FIRE PROTECTION DISTRICT
Entity type:Organization
Organization Name:JEFFERSON COUNTY RURAL FIRE PROTECTION DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMIN.
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:PECKHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-325-1312
Mailing Address - Street 1:765 S 5TH ST
Mailing Address - Street 2:
Mailing Address - City:MADRAS
Mailing Address - State:OR
Mailing Address - Zip Code:97741-9047
Mailing Address - Country:US
Mailing Address - Phone:541-475-7274
Mailing Address - Fax:
Practice Address - Street 1:765 S 5TH ST
Practice Address - Street 2:
Practice Address - City:MADRAS
Practice Address - State:OR
Practice Address - Zip Code:97741-9047
Practice Address - Country:US
Practice Address - Phone:541-475-7274
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JEFFERSON COUNTY EMERGENCY MEDICAL SERVICES DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-03
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport