Provider Demographics
NPI:1649576745
Name:PARADOX FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:PARADOX FIRE PROTECTION DISTRICT
Other - Org Name:PARADOX VALLEY AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOARD PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-859-7330
Mailing Address - Street 1:PO BOX 393
Mailing Address - Street 2:
Mailing Address - City:PARADOX
Mailing Address - State:CO
Mailing Address - Zip Code:81429-0393
Mailing Address - Country:US
Mailing Address - Phone:970-859-7330
Mailing Address - Fax:
Practice Address - Street 1:21391 600 RD.
Practice Address - Street 2:
Practice Address - City:PARADOX
Practice Address - State:CO
Practice Address - Zip Code:81429-0371
Practice Address - Country:US
Practice Address - Phone:970-859-7330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-07
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO43430384Medicaid
617876700OtherDEPT OF LABOR, FECA, BLACK LUNG, ENERGY
P01294307OtherRAILROAD WORKERS MEDICARE
617876700OtherDEPT OF LABOR, FECA, BLACK LUNG, ENERGY