Provider Demographics
NPI:1073684908
Name:TAHOE-DOUGLAS FIRE PROTECTION DISTRICT
Entity type:Organization
Organization Name:TAHOE-DOUGLAS FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BATTALION CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-586-1573
Mailing Address - Street 1:PO BOX 919
Mailing Address - Street 2:
Mailing Address - City:ZEPHYR COVE
Mailing Address - State:NV
Mailing Address - Zip Code:89448-0919
Mailing Address - Country:US
Mailing Address - Phone:775-586-1573
Mailing Address - Fax:775-588-8270
Practice Address - Street 1:193 ELKS POINT RD
Practice Address - Street 2:
Practice Address - City:ZEPHYR COVE
Practice Address - State:NV
Practice Address - Zip Code:89448-0919
Practice Address - Country:US
Practice Address - Phone:775-586-1573
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV003203002Medicaid
CAXMTE06490Medicaid
CACC6113OtherBCBS
NV003203002Medicaid
CACC6113OtherBCBS