1265660583 NPI number — RICO FIRE PROTECTION DISTRICT

Table of content: (NPI 1265660583)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265660583 NPI number — RICO FIRE PROTECTION DISTRICT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RICO FIRE PROTECTION DISTRICT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265660583
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/22/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 39
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RICO
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
81332-0039
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
970-967-2222
Provider Business Mailing Address Fax Number:
970-967-2222

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
119 SOUTH GLASGOW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RICO
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
81332-0039
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-967-2222
Provider Business Practice Location Address Fax Number:
970-967-2222
Provider Enumeration Date:
06/25/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
JONES
Authorized Official First Name:
TODD
Authorized Official Middle Name:
Authorized Official Title or Position:
FIRE CHIEF
Authorized Official Telephone Number:
970-967-2222

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  731A11 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)