Healthcare Provider Details

I. General information

NPI: 1457499121
Provider Name (Legal Business Name): KIOWA FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 11/28/2022
Certification Date: 11/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 CR 45
KIOWA CO
80117
US

IV. Provider business mailing address

PO BOX 321
KIOWA CO
80117-0321
US

V. Phone/Fax

Practice location:
  • Phone: 303-621-2233
  • Fax: 303-621-2690
Mailing address:
  • Phone: 303-621-2233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. GERALD LAMANSKY
Title or Position: FIRE CHIEF
Credential:
Phone: 303-621-2233