Provider Demographics
NPI:1285610626
Name:MONTROSE RURAL FIRE PROTECTION DISTRICT NO 1
Entity type:Organization
Organization Name:MONTROSE RURAL FIRE PROTECTION DISTRICT NO 1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:TAD
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROWAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-249-9181
Mailing Address - Street 1:441 S UNCOMPAHGRE AVE
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-5745
Mailing Address - Country:US
Mailing Address - Phone:970-249-9181
Mailing Address - Fax:970-249-8421
Practice Address - Street 1:441 S UNCOMPAHGRE AVE
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-5745
Practice Address - Country:US
Practice Address - Phone:970-249-9181
Practice Address - Fax:970-249-8421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-19
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO98050093416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO37579860Medicaid
COC62433Medicare ID - Type Unspecified
CO590013782Medicare PIN