Provider Demographics
NPI:1346432457
Name:DEER TRAIL RURAL FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:DEER TRAIL RURAL FIRE PROTECTION DISTRICT
Other - Org Name:DEER TRAIL RESCUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOARD PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:DILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:033-308-1673
Mailing Address - Street 1:PO BOX 9150
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42002-9150
Mailing Address - Country:US
Mailing Address - Phone:270-744-9600
Mailing Address - Fax:270-744-8642
Practice Address - Street 1:488 1ST AVE
Practice Address - Street 2:
Practice Address - City:DEER TRAIL
Practice Address - State:CO
Practice Address - Zip Code:80105
Practice Address - Country:US
Practice Address - Phone:720-308-1673
Practice Address - Fax:270-744-8642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-13
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO6124-3Medicare UPIN