Provider Demographics
NPI:1891911244
Name:YAMPA FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:YAMPA FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLIDAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-638-4227
Mailing Address - Street 1:PO BOX 237
Mailing Address - Street 2:
Mailing Address - City:YAMPA
Mailing Address - State:CO
Mailing Address - Zip Code:80483-0237
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:56 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:YAMPA
Practice Address - State:CO
Practice Address - Zip Code:80483
Practice Address - Country:US
Practice Address - Phone:970-638-4227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO07-1043416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO06060503Medicaid
CO06060503Medicaid