1922281450 NPI number — CALHAN FIRE PROTECTION DISTRICT

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922281450 NPI number — CALHAN FIRE PROTECTION DISTRICT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CALHAN 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:
1922281450
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/06/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
725 FOURTH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CALHAN
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80808
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
719-347-3057
Provider Business Mailing Address Fax Number:
719-347-3191

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
725 FOURTH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CALHAN
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80808
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
719-347-3057
Provider Business Practice Location Address Fax Number:
719-347-3191
Provider Enumeration Date:
12/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
GATTIS
Authorized Official First Name:
SHANE
Authorized Official Middle Name:
OWEN
Authorized Official Title or Position:
FIRE CHIEF
Authorized Official Telephone Number:
719-347-3057

Provider Taxonomy Codes

  • Taxonomy code: 341600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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