Provider Demographics
NPI:1497560312
Name:PAGE RURAL FIRE PROTECTION DISTRICT NO 4
Entity type:Organization
Organization Name:PAGE RURAL FIRE PROTECTION DISTRICT NO 4
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AMBULANCE SQUAD CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:JONI
Authorized Official - Middle Name:
Authorized Official - Last Name:ISOM
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:402-340-0924
Mailing Address - Street 1:50489 872ND RD
Mailing Address - Street 2:
Mailing Address - City:PAGE
Mailing Address - State:NE
Mailing Address - Zip Code:68766-5505
Mailing Address - Country:US
Mailing Address - Phone:402-340-0924
Mailing Address - Fax:
Practice Address - Street 1:106 N 5TH ST
Practice Address - Street 2:
Practice Address - City:PAGE
Practice Address - State:NE
Practice Address - Zip Code:68766-5018
Practice Address - Country:US
Practice Address - Phone:402-338-5901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-10
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty