MEDICARE: CITY OF FEDERAL HEIGHTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	EXEMPT	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396721395
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF FEDERAL HEIGHTS

Provider Business Mailing Address
First Line	:	PO BOX 5223
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80217-5223
Country	:	US
Telephone Number	:	303-428-3526
Fax Number	:	303-428-0494

Provider Business Practice Location Address
First Line	:	2400 W 90TH AVE
Second Line	:
City	:	FEDERAL HEIGHTS
State	:	CO
Zip	:	80260-5102
Country	:	US
Telephone Number	:	303-428-3526
Fax Number	:	303-428-0494

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	MARC MAHONEY
Credential	:
Telephone Number	:	303-412-3560

Provider Enumeration Date	:	12/21/2005
Last Update Date	:	09/26/2024

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Directions to “CITY OF FEDERAL HEIGHTS ” Practice Location

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