MEDICARE: ELIZABETH FIRE PROTECTION DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144207127
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELIZABETH FIRE PROTECTION DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 441
Second Line	:
City	:	ELIZABETH
State	:	CO
Zip	:	80107-0441
Country	:	US
Telephone Number	:	303-646-3800
Fax Number	:	303-688-6994

Provider Business Practice Location Address
First Line	:	155 W KIOWA AVE
Second Line	:
City	:	ELIZABETH
State	:	CO
Zip	:	80107-7934
Country	:	US
Telephone Number	:	303-646-3800
Fax Number	:	303-688-6994

Authorized Official
Title or Position	:	ADMINISTRATIVE ASSISTANT
Name	:	MRS. SUSAN GAY KRIZ
Credential	:
Telephone Number	:	303-646-3800

Provider Enumeration Date	:	12/29/2005
Last Update Date	:	06/30/2008

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Directions to “ELIZABETH FIRE PROTECTION DISTRICT ” Practice Location

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