Healthcare Provider Details

I. General information

NPI: 1922281450
Provider Name (Legal Business Name): CALHAN FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2007
Last Update Date: 12/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 FOURTH ST
CALHAN CO
80808
US

IV. Provider business mailing address

725 FOURTH ST
CALHAN CO
80808
US

V. Phone/Fax

Practice location:
  • Phone: 719-347-3057
  • Fax: 719-347-3191
Mailing address:
  • Phone: 719-347-3057
  • Fax: 719-347-3191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: MR. SHANE OWEN GATTIS
Title or Position: FIRE CHIEF
Credential:
Phone: 719-347-3057