Provider Demographics
NPI:1730253170
Name:BURNEY FIRE DISTRICT
Entity type:Organization
Organization Name:BURNEY FIRE DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:MONTE
Authorized Official - Middle Name:
Authorized Official - Last Name:KEADY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-891-5145
Mailing Address - Street 1:37072 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:BURNEY
Mailing Address - State:CA
Mailing Address - Zip Code:96013-0000
Mailing Address - Country:US
Mailing Address - Phone:530-335-2212
Mailing Address - Fax:530-335-2235
Practice Address - Street 1:37072 MAIN STREET
Practice Address - Street 2:
Practice Address - City:BURNEY
Practice Address - State:CA
Practice Address - Zip Code:96013-0000
Practice Address - Country:US
Practice Address - Phone:530-335-2212
Practice Address - Fax:530-335-2235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-18
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ40283ZMedicaid
CAZZZ40283ZMedicare UPIN
ZZZ40283ZMedicare PIN