Provider Demographics
NPI:1194950220
Name:NORTH VIEW FIRE AGENCY
Entity type:Organization
Organization Name:NORTH VIEW FIRE AGENCY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:S
Authorized Official - Last Name:FROERER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-782-8159
Mailing Address - Street 1:315 E 2550 N
Mailing Address - Street 2:
Mailing Address - City:NORTH OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84414-2221
Mailing Address - Country:US
Mailing Address - Phone:801-782-8159
Mailing Address - Fax:801-782-3532
Practice Address - Street 1:315 E 2550 N
Practice Address - Street 2:
Practice Address - City:NORTH OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84414-2221
Practice Address - Country:US
Practice Address - Phone:801-782-8159
Practice Address - Fax:801-782-3532
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTH VIEW FIRE AGENCY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-05-19
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2919L3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT690870202007Medicaid
UT690870202007Medicaid