Provider Demographics
NPI:1457499121
Name:KIOWA FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:KIOWA FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMANSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-621-2233
Mailing Address - Street 1:PO BOX 321
Mailing Address - Street 2:
Mailing Address - City:KIOWA
Mailing Address - State:CO
Mailing Address - Zip Code:80117-0321
Mailing Address - Country:US
Mailing Address - Phone:303-621-2233
Mailing Address - Fax:
Practice Address - Street 1:403 CR 45
Practice Address - Street 2:
Practice Address - City:KIOWA
Practice Address - State:CO
Practice Address - Zip Code:80117
Practice Address - Country:US
Practice Address - Phone:303-621-2233
Practice Address - Fax:303-621-2690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO64470741Medicaid
COCOB5135Medicare Oscar/Certification