Provider Demographics
NPI:1013010800
Name:TOWN OF CASTLE ROCK
Entity Type:Organization
Organization Name:TOWN OF CASTLE ROCK
Other - Org Name:CASTLE ROCK FIRE AND RESCUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS BATTALION CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:RICH
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-660-1066
Mailing Address - Street 1:100 WILCOX ST
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-1907
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:300 PERRY ST
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-2421
Practice Address - Country:US
Practice Address - Phone:303-660-1066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO06001440Medicaid
COC60223Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER