Provider Demographics
NPI:1588403661
Name:FLAMING GORGE FIRE AND EMS DISTRICT
Entity type:Organization
Organization Name:FLAMING GORGE FIRE AND EMS DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF EMS
Authorized Official - Prefix:
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:
Authorized Official - Last Name:OLSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-778-3310
Mailing Address - Street 1:PO BOX 334
Mailing Address - Street 2:
Mailing Address - City:MANILA
Mailing Address - State:UT
Mailing Address - Zip Code:84046-0334
Mailing Address - Country:US
Mailing Address - Phone:435-784-3255
Mailing Address - Fax:
Practice Address - Street 1:71 W 1ST N
Practice Address - Street 2:
Practice Address - City:MANILA
Practice Address - State:UT
Practice Address - Zip Code:84046-4689
Practice Address - Country:US
Practice Address - Phone:435-784-3255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport