Provider Demographics
NPI:1679313324
Name:MATTITUCK FIRE DISTRICT
Entity type:Organization
Organization Name:MATTITUCK FIRE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-298-8837
Mailing Address - Street 1:1000 PIKE ST
Mailing Address - Street 2:
Mailing Address - City:MATTITUCK
Mailing Address - State:NY
Mailing Address - Zip Code:11952-3236
Mailing Address - Country:US
Mailing Address - Phone:631-298-8837
Mailing Address - Fax:
Practice Address - Street 1:1000 PIKE ST
Practice Address - Street 2:
Practice Address - City:MATTITUCK
Practice Address - State:NY
Practice Address - Zip Code:11952-3236
Practice Address - Country:US
Practice Address - Phone:631-298-8837
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-30
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport