Organization Name: | PINE SNAG LOBO FIRE ASSOCIATION |
NPI Number: | 1538558697 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL COURTNEY (FIRE CHIEF) |
Mailing Address: | 1855 Pangburn Rd Heber Springs |
State: | AR US |
Postal Code: | 72543 |
Phone Number: | 5014122200 |
Fax Number: | |
NPI Enumeration Date: | 01/13/2015 |
NPI Last Update Date: | 01/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 206 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |