Provider Demographics
NPI:1588862916
Name:INDIAN HILLS FIRE PROTECTION DISTRICT
Entity type:Organization
Organization Name:INDIAN HILLS FIRE PROTECTION DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:CORSAUT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-697-4568
Mailing Address - Street 1:PO BOX 750
Mailing Address - Street 2:
Mailing Address - City:INDIAN HILLS
Mailing Address - State:CO
Mailing Address - Zip Code:80454-0750
Mailing Address - Country:US
Mailing Address - Phone:303-697-4568
Mailing Address - Fax:
Practice Address - Street 1:4476 PARMALEE GULCH ROAD
Practice Address - Street 2:
Practice Address - City:INDIAN HILLS
Practice Address - State:CO
Practice Address - Zip Code:80454-0750
Practice Address - Country:US
Practice Address - Phone:303-697-4568
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-06
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCC95-2341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC554218Medicare ID - Type Unspecified