Provider Demographics
NPI:1386624351
Name:FIRE INC
Entity type:Organization
Organization Name:FIRE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:D
Authorized Official - Last Name:SAAGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-938-7146
Mailing Address - Street 1:PO BOX 356
Mailing Address - Street 2:
Mailing Address - City:MILTON FREEWATER
Mailing Address - State:OR
Mailing Address - Zip Code:97862-0356
Mailing Address - Country:US
Mailing Address - Phone:541-938-7146
Mailing Address - Fax:541-938-6967
Practice Address - Street 1:84629 EASTSIDE ROAD
Practice Address - Street 2:
Practice Address - City:MILTON FREEWATER
Practice Address - State:OR
Practice Address - Zip Code:97862-4629
Practice Address - Country:US
Practice Address - Phone:541-938-7146
Practice Address - Fax:541-938-6967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-18
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR303006341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR033360Medicaid
OR033360Medicaid