Provider Demographics
NPI:1588736045
Name:UMATILLA RURAL FIRE PROTECTION
Entity type:Organization
Organization Name:UMATILLA RURAL FIRE PROTECTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN, BOARD OF DIRECTORS
Authorized Official - Prefix:MR
Authorized Official - First Name:FRED
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEELEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-922-2770
Mailing Address - Street 1:PO BOX 456
Mailing Address - Street 2:
Mailing Address - City:UMATILLA
Mailing Address - State:OR
Mailing Address - Zip Code:97882-0456
Mailing Address - Country:US
Mailing Address - Phone:541-922-2770
Mailing Address - Fax:
Practice Address - Street 1:921 6TH STREET
Practice Address - Street 2:
Practice Address - City:UMATILLA
Practice Address - State:OR
Practice Address - Zip Code:97882-0456
Practice Address - Country:US
Practice Address - Phone:541-922-2770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3002146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR203844Medicaid
ORR0000RGBHBMedicare PIN