Organization
LA PINE RURAL FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE S SUPKIS (FIRE CHIEF)
(541) 536-2935
Entity
Organization
Contact information
Practice address
51550 S HUNTINGTON RD, LA PINE, OR 97739-7505
(541) 536-2935
(541) 536-3801
Mailing address
PO BOX 10, LA PINE, OR 97739-0010
(541) 536-2935
(541) 536-3801
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0917
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157156
—
OR
Enumeration date
07/26/2006
Last updated
09/13/2021
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