Provider Demographics
NPI:1336890128
Name:SOUTHWESTERN POLK COUNTY RURAL FIRE PROTECTION DISTRICT
Entity type:Organization
Organization Name:SOUTHWESTERN POLK COUNTY RURAL FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:FRED
Authorized Official - Middle Name:
Authorized Official - Last Name:HERTEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-925-4275
Mailing Address - Street 1:15455 SALT CREEK RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:OR
Mailing Address - Zip Code:97338-9246
Mailing Address - Country:US
Mailing Address - Phone:503-925-4275
Mailing Address - Fax:
Practice Address - Street 1:15455 SALT CREEK RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:OR
Practice Address - Zip Code:97338-9246
Practice Address - Country:US
Practice Address - Phone:503-925-4275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance