Provider Demographics
NPI:1326275181
Name:US DEPT OF THE INTERIOR NATIONAL PARK SERVICE
Entity Type:Organization
Organization Name:US DEPT OF THE INTERIOR NATIONAL PARK SERVICE
Other - Org Name:MESA VERDE NATIONAL PARK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF RANGER
Authorized Official - Prefix:
Authorized Official - First Name:JESSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FARIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-529-4641
Mailing Address - Street 1:555 S STATE ROUTE 64
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WILLIAMS
Mailing Address - State:AZ
Mailing Address - Zip Code:86046-5013
Mailing Address - Country:US
Mailing Address - Phone:928-679-2171
Mailing Address - Fax:866-248-1073
Practice Address - Street 1:#53 MAINTENANCE LOADING DOCK
Practice Address - Street 2:
Practice Address - City:MESA VERDE
Practice Address - State:CO
Practice Address - Zip Code:81330-0008
Practice Address - Country:US
Practice Address - Phone:970-529-4621
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-18
Last Update Date:2011-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport