Provider Demographics
NPI:1588662159
Name:CARBONDALE AND RURAL FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:CARBONDALE AND RURAL FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KAT
Authorized Official - Middle Name:
Authorized Official - Last Name:BERNAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-963-2491
Mailing Address - Street 1:300 MEADOWOOD DRIVE
Mailing Address - Street 2:
Mailing Address - City:CARBONDALE
Mailing Address - State:CO
Mailing Address - Zip Code:81623
Mailing Address - Country:US
Mailing Address - Phone:970-963-2491
Mailing Address - Fax:970-963-0569
Practice Address - Street 1:300 MEADOWOOD DRIVE
Practice Address - Street 2:
Practice Address - City:CARBONDALE
Practice Address - State:CO
Practice Address - Zip Code:81623
Practice Address - Country:US
Practice Address - Phone:970-963-2491
Practice Address - Fax:970-963-0569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-08
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO82341600000X
CO80341600000X
CO81341600000X
CO84341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO06608632Medicaid
CO06608632Medicaid