Lakeside Volunteer Fire Department

NPI #1609849041 in Lakeside, Arizona

Provider Information

NPI Number: 1609849041
Entity Type: Organization
Organization Name: Lakeside Volunteer Fire Department
Primary Specialty: Ambulance
Enumeration Date: Feb 8, 2006
Last Updated: Sep 11, 2008

Practice Location

Address: 2922 W WHITE MOUNTAIN BLVD
City: Lakeside
State: Arizona
ZIP Code: 85929-0000
Phone: (928) 368-6112

Authorized Official

Name: MR. TIMOTHY L VAN SCOTER
Title: FIRE CHIEF
Phone: (928) 368-6112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance	341600000X	Primary

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