Provider Demographics
NPI:1144207127
Name:ELIZABETH FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:ELIZABETH FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:GAY
Authorized Official - Last Name:KRIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-646-3800
Mailing Address - Street 1:PO BOX 441
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:CO
Mailing Address - Zip Code:80107-0441
Mailing Address - Country:US
Mailing Address - Phone:303-646-3800
Mailing Address - Fax:303-688-6994
Practice Address - Street 1:155 W KIOWA AVE
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:CO
Practice Address - Zip Code:80107-7934
Practice Address - Country:US
Practice Address - Phone:303-646-3800
Practice Address - Fax:303-688-6994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-29
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO0600152Medicaid
COC61593Medicare PIN
CO0600152Medicaid