Provider Demographics
NPI:1669607230
Name:NIKISKI FIRE DEPARTMENT
Entity type:Organization
Organization Name:NIKISKI FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:BAISDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-776-6401
Mailing Address - Street 1:PO BOX 8508
Mailing Address - Street 2:
Mailing Address - City:NIKISKI
Mailing Address - State:AK
Mailing Address - Zip Code:99635-8508
Mailing Address - Country:US
Mailing Address - Phone:907-776-6401
Mailing Address - Fax:907-283-8404
Practice Address - Street 1:44800 KENAI SPUR HIGHWAY
Practice Address - Street 2:NIKISKI FIRE STATION #1
Practice Address - City:NIKISKI
Practice Address - State:AK
Practice Address - Zip Code:99635
Practice Address - Country:US
Practice Address - Phone:907-776-6401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-26
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport