Healthcare Provider Details

I. General information

NPI: 1154508026
Provider Name (Legal Business Name): KIOWA FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2008
Last Update Date: 01/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 COUNTY ROAD 45
KIOWA CO
80117-0321
US

IV. Provider business mailing address

PO BOX 321
KIOWA CO
80117-0321
US

V. Phone/Fax

Practice location:
  • Phone: 303-621-2233
  • Fax: 303-621-2233
Mailing address:
  • Phone: 303-621-2233
  • Fax: 303-621-2233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. MICHELLE DIAN BOWERS
Title or Position: FIRE CHIEF
Credential:
Phone: 303-621-2233