Provider Demographics
NPI:1144718248
Name:NENANA VOLUNTEER FIRE EMS DEPARTMENT
Entity type:Organization
Organization Name:NENANA VOLUNTEER FIRE EMS DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LIEUTENANT/ ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:LARENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FORNESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-832-5600
Mailing Address - Street 1:PO BOX 88
Mailing Address - Street 2:
Mailing Address - City:NENANA
Mailing Address - State:AK
Mailing Address - Zip Code:99760-0088
Mailing Address - Country:US
Mailing Address - Phone:907-832-5600
Mailing Address - Fax:907-832-5606
Practice Address - Street 1:602 MARKET STREET
Practice Address - Street 2:
Practice Address - City:NENANA
Practice Address - State:AK
Practice Address - Zip Code:99760
Practice Address - Country:US
Practice Address - Phone:907-832-5600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-25
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport