MEDICARE: SABLE ALTURA 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	341600000X	Ambulance	335KUV	CO
2	3416L0300X	Land Ambulance
3	341600000X	Ambulance	174NNH	CO

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	:	1578671061
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SABLE ALTURA FIRE PROTECTION DISTRICT

Provider Business Mailing Address
First Line	:	26900 E COLFAX AVE LOT 52
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80018-2329
Country	:	US
Telephone Number	:	303-364-7187
Fax Number	:	303-360-8637

Provider Business Practice Location Address
First Line	:	26900 E COLFAX AVE
Second Line	:	UNIT 52
City	:	AURORA
State	:	CO
Zip	:	80018-2300
Country	:	US
Telephone Number	:	303-364-7187
Fax Number	:	303-360-8637

Authorized Official
Title or Position	:	DISTRICT MANAGER
Name	:	HOPE WILLIAMS
Credential	:
Telephone Number	:	303-364-7187

Provider Enumeration Date	:	08/26/2006
Last Update Date	:	07/20/2022

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Directions to “SABLE ALTURA FIRE PROTECTION DISTRICT ” Practice Location

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