Organization Name: | GARDEN VALLEY FIRE PROTECTION |
NPI Number: | 1619394020 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JON DELVALLE (FIRE CHIEF) |
Mailing Address: | 373 S. Middle Fork Rd. Garden Valley |
State: | ID US |
Postal Code: | 836220000 |
Phone Number: | 2084623175 |
Fax Number: | 2084623175 |
NPI Enumeration Date: | 03/24/2014 |
NPI Last Update Date: | 07/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |