Healthcare Provider Details

I. General information

NPI: 1144207127
Provider Name (Legal Business Name): ELIZABETH FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2005
Last Update Date: 06/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 W KIOWA AVE
ELIZABETH CO
80107-7934
US

IV. Provider business mailing address

PO BOX 441
ELIZABETH CO
80107-0441
US

V. Phone/Fax

Practice location:
  • Phone: 303-646-3800
  • Fax: 303-688-6994
Mailing address:
  • Phone: 303-646-3800
  • Fax: 303-688-6994

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MRS. SUSAN GAY KRIZ
Title or Position: ADMINISTRATIVE ASSISTANT
Credential:
Phone: 303-646-3800