Long Valley Fire Protection Dist

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

LONG VALLEY FIRE PROTECTION DIST

Doing business as

Laytonville Fire Dept Ambulance

Practice address

44920 Willis Rd
Laytonville, CA 95454

Phone

(707) 984-6055

Fax

(707) 984-6057

NPI assigned

Apr 9, 2007

Last updated

Sep 19, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. James Little

Title

Fire Chief

Phone

(707) 984-6055

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Laytonville Fire Dept Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1508989856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 399",
            "city": "LAYTONVILLE",
            "state": "CA",
            "postal_code": "954540399",
            "telephone_number": "707-984-6055",
            "fax_number": "707-984-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44920 WILLIS RD",
            "city": "LAYTONVILLE",
            "state": "CA",
            "postal_code": "95454",
            "telephone_number": "707-984-6055",
            "fax_number": "707-984-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG VALLEY FIRE PROTECTION DIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "707-984-6055",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE00229F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laytonville Fire Dept Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Judy Hansen, LEP
• Jane Keeley, FNP
• Gregory Kocher, D.D.S
• Laytonville Unified School District
• Shaelah Ellen Lewis, FNP-C
• Long Valley Health Center
• Aliza Menashe, LCSW
• Haley Megan Morse
• Candy Muzio, NCAC II, CADC II
• Sharon Paltin, M.D.

• Ambulance in Laytonville, CA
• Providers in Laytonville, CA by specialty
• Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.