Healthcare Provider Details

I. General information

NPI: 1255400107
Provider Name (Legal Business Name): FREDERICK AREA FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 08/15/2024
Certification Date: 08/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8426 KOSMERL PL
FREDERICK CO
80504-5444
US

IV. Provider business mailing address

8426 KOSMERL PL
FREDERICK CO
80504-5444
US

V. Phone/Fax

Practice location:
  • Phone: 303-833-2742
  • Fax: 303-833-3736
Mailing address:
  • Phone: 303-833-2742
  • Fax: 303-833-3736

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JEREMY ALLAN YOUNG
Title or Position: FIRE CHIEF
Credential:
Phone: 720-484-3362