Provider Demographics
NPI:1669560777
Name:FERNLEY VOLUNTEER FIRE DEPARTMENT & AMBULANCE SERVICE
Entity type:Organization
Organization Name:FERNLEY VOLUNTEER FIRE DEPARTMENT & AMBULANCE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINN. ASST.
Authorized Official - Prefix:MS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:E
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-575-3377
Mailing Address - Street 1:PO BOX 163
Mailing Address - Street 2:
Mailing Address - City:FERNLEY
Mailing Address - State:NV
Mailing Address - Zip Code:89408-0163
Mailing Address - Country:US
Mailing Address - Phone:775-575-3377
Mailing Address - Fax:775-575-1970
Practice Address - Street 1:195 E MAIN ST
Practice Address - Street 2:
Practice Address - City:FERNLEY
Practice Address - State:NV
Practice Address - Zip Code:89408-7644
Practice Address - Country:US
Practice Address - Phone:775-575-3377
Practice Address - Fax:775-575-1970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV11101341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance