Provider Demographics
NPI:1316382138
Name:DEER MOUNTAIN FIRE PROTECTION DISTRICT
Entity type:Organization
Organization Name:DEER MOUNTAIN FIRE PROTECTION DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCKEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-942-3507
Mailing Address - Street 1:6181 COUNTY ROAD 28
Mailing Address - Street 2:
Mailing Address - City:COTOPAXI
Mailing Address - State:CO
Mailing Address - Zip Code:81223-8722
Mailing Address - Country:US
Mailing Address - Phone:719-942-9610
Mailing Address - Fax:
Practice Address - Street 1:6181 COUNTY ROAD 28
Practice Address - Street 2:
Practice Address - City:COTOPAXI
Practice Address - State:CO
Practice Address - Zip Code:81223-8722
Practice Address - Country:US
Practice Address - Phone:719-942-9610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-07
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO66770106Medicaid
CO66770106Medicaid