# LA PINE RURAL FIRE PROTECTION DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457374878
- **Authorized official:** MIKE S SUPKIS (FIRE CHIEF)
- **Authorized official phone:** (541) 536-2935

## Contact information

- **Practice address:** 51550 S HUNTINGTON RD, LA PINE, OR 97739-7505
- **Practice address phone:** (541) 536-2935
- **Practice address fax:** (541) 536-3801
- **Mailing address:** PO BOX 10, LA PINE, OR 97739-0010
- **Mailing address phone:** (541) 536-2935
- **Mailing address fax:** (541) 536-3801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0917 | OR | Yes |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 09/13/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 157156 | — | OR |