Provider Demographics
NPI:1043893787
Name:LOWER VALLEY FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:LOWER VALLEY FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBULANCE BILLER/CODER
Authorized Official - Prefix:
Authorized Official - First Name:BETTE
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:BURNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-858-3133
Mailing Address - Street 1:PO BOX 520
Mailing Address - Street 2:
Mailing Address - City:FRUITA
Mailing Address - State:CO
Mailing Address - Zip Code:81521-0520
Mailing Address - Country:US
Mailing Address - Phone:970-858-3133
Mailing Address - Fax:970-858-7620
Practice Address - Street 1:168 N MESA ST
Practice Address - Street 2:
Practice Address - City:FRUITA
Practice Address - State:CO
Practice Address - Zip Code:81521-2515
Practice Address - Country:US
Practice Address - Phone:970-858-3133
Practice Address - Fax:970-858-7620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-30
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO83529Medicaid