Healthcare Provider Details
I. General information
NPI: 1730253170
Provider Name (Legal Business Name): BURNEY FIRE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/18/2006
Last Update Date: 12/17/2019
Certification Date: 12/17/2019
Deactivation Date:
Reactivation Date:
III. Provider practice location address
37072 MAIN STREET
BURNEY CA
96013-0000
US
IV. Provider business mailing address
37072 MAIN STREET
BURNEY CA
96013-0000
US
V. Phone/Fax
- Phone: 530-335-2212
- Fax: 530-335-2235
- Phone: 530-335-2212
- Fax: 530-335-2235
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 341600000X |
| Taxonomy | Ambulance |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MONTE
KEADY
Title or Position: FIRE CHIEF
Credential:
Phone: 541-891-5145