Provider Demographics
NPI:1720421068
Name:BECKWOURTH FIRE DISTRICT
Entity Type:Organization
Organization Name:BECKWOURTH FIRE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCAFFREY
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MICN,
Authorized Official - Phone:530-832-1008
Mailing Address - Street 1:180 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BECKWOURTH
Mailing Address - State:CA
Mailing Address - Zip Code:96129-1029
Mailing Address - Country:US
Mailing Address - Phone:530-832-1008
Mailing Address - Fax:530-832-5828
Practice Address - Street 1:180 MAIN ST
Practice Address - Street 2:
Practice Address - City:BECKWOURTH
Practice Address - State:CA
Practice Address - Zip Code:96129-1029
Practice Address - Country:US
Practice Address - Phone:530-832-1008
Practice Address - Fax:530-832-5828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-16
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Single Specialty