Healthcare Provider Details

I. General information

NPI: 1396721395
Provider Name (Legal Business Name): CITY OF FEDERAL HEIGHTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2005
Last Update Date: 09/26/2024
Certification Date: 09/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 W 90TH AVE
FEDERAL HEIGHTS CO
80260-5102
US

IV. Provider business mailing address

PO BOX 5223
DENVER CO
80217-5223
US

V. Phone/Fax

Practice location:
  • Phone: 303-428-3526
  • Fax: 303-428-0494
Mailing address:
  • Phone: 303-428-3526
  • Fax: 303-428-0494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License NumberEXEMPT
License Number StateCO

VIII. Authorized Official

Name: MARC MAHONEY
Title or Position: FIRE CHIEF
Credential:
Phone: 303-412-3560