Provider Demographics
NPI:1356079529
Name:GAINESVILLE FIRE DEPARTMENT INC
Entity type:Organization
Organization Name:GAINESVILLE FIRE DEPARTMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DUSTY
Authorized Official - Middle Name:
Authorized Official - Last Name:DEITER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-493-5956
Mailing Address - Street 1:PO BOX 353
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14066-0353
Mailing Address - Country:US
Mailing Address - Phone:585-493-5956
Mailing Address - Fax:
Practice Address - Street 1:2 EAST STREET
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:NY
Practice Address - Zip Code:14066
Practice Address - Country:US
Practice Address - Phone:585-493-5956
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-15
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport