Provider Demographics
NPI:1356457022
Name:RATTLESNAKE FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:RATTLESNAKE FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER - WIBS
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:GADZIALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-525-9287
Mailing Address - Street 1:46220 COAL CREEK DR
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-4343
Mailing Address - Country:US
Mailing Address - Phone:303-841-8111
Mailing Address - Fax:303-841-6087
Practice Address - Street 1:46220 COAL CREEK DR
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-4343
Practice Address - Country:US
Practice Address - Phone:303-841-8111
Practice Address - Fax:303-841-6087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2018-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO08521328Medicaid
CO590014071OtherRAIL ROAD MEDICARE
C808921Medicare PIN