Healthcare Provider Details

I. General information

NPI: 1760114482
Provider Name (Legal Business Name): YACHATS RURAL FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2022
Last Update Date: 06/30/2022
Certification Date: 06/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2056 HIGHWAY 101 N
YACHATS OR
97498-9631
US

IV. Provider business mailing address

PO BOX 1
YACHATS OR
97498-0001
US

V. Phone/Fax

Practice location:
  • Phone: 541-547-3266
  • Fax:
Mailing address:
  • Phone: 541-547-3266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: FRANKIE PETRICK
Title or Position: DISTRICT ADMINISTRATOR/FIRE CHIEF
Credential:
Phone: 541-547-3266