Provider Demographics
NPI:1285100537
Name:CEDAR MOUNTAIN FIRE PROTECTION DISTRICT
Entity type:Organization
Organization Name:CEDAR MOUNTAIN FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF / EMS COORDINATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:CASEY
Authorized Official - Last Name:TUTTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-682-3225
Mailing Address - Street 1:HC 82 BOX 1084
Mailing Address - Street 2:
Mailing Address - City:DUCK CREEK VILLAGE
Mailing Address - State:UT
Mailing Address - Zip Code:84762-8200
Mailing Address - Country:US
Mailing Address - Phone:435-682-3225
Mailing Address - Fax:
Practice Address - Street 1:3620 MAMMOTH CREEK ROAD
Practice Address - Street 2:
Practice Address - City:DUCK CREEK VILLAGE
Practice Address - State:UT
Practice Address - Zip Code:84762
Practice Address - Country:US
Practice Address - Phone:435-682-3225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-15
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport