Provider Demographics
NPI:1689780413
Name:SOUTH METRO FIRE RESCUE FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:SOUTH METRO FIRE RESCUE FIRE PROTECTION DISTRICT
Other - Org Name:PARKER FIRE PROTECTION DISTRICT
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DILLON
Authorized Official - Middle Name:
Authorized Official - Last Name:MISKIMINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-989-2217
Mailing Address - Street 1:9195 E MINERAL AVE
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3549
Mailing Address - Country:US
Mailing Address - Phone:720-989-2311
Mailing Address - Fax:720-989-2110
Practice Address - Street 1:9195 E MINERAL AVE
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3549
Practice Address - Country:US
Practice Address - Phone:720-989-2311
Practice Address - Fax:720-989-2110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2017-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO06000699Medicaid
CO590015607OtherRAIL ROAD MEDICARE
COC60163Medicare PIN