Provider Demographics
NPI:1427123868
Name:LANDS END FIRE PROTECTION DISTRICT
Entity type:Organization
Organization Name:LANDS END FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:WALLACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-242-4504
Mailing Address - Street 1:PO BOX 250
Mailing Address - Street 2:
Mailing Address - City:WHITEWATER
Mailing Address - State:CO
Mailing Address - Zip Code:81527-0250
Mailing Address - Country:US
Mailing Address - Phone:970-242-4504
Mailing Address - Fax:
Practice Address - Street 1:34890 PRONGHORN DR
Practice Address - Street 2:
Practice Address - City:WHITEWATER
Practice Address - State:CO
Practice Address - Zip Code:81527-0250
Practice Address - Country:US
Practice Address - Phone:970-242-4504
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance