Provider Demographics
NPI:1912019985
Name:MOUNTAIN VIEW FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:MOUNTAIN VIEW FIRE PROTECTION DISTRICT
Other - Org Name:MOUNTAIN VIEW FIRE RESCUE
Other - Org Type:Other Name
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:L
Authorized Official - Last Name:OLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-678-9872
Mailing Address - Street 1:7661 MCLAUGHLIN ROAD
Mailing Address - Street 2:PMB 355
Mailing Address - City:FALCON
Mailing Address - State:CO
Mailing Address - Zip Code:80831
Mailing Address - Country:US
Mailing Address - Phone:303-558-5380
Mailing Address - Fax:303-558-5370
Practice Address - Street 1:3561 STAGECOACH RD
Practice Address - Street 2:UNIT 200
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80504-6256
Practice Address - Country:US
Practice Address - Phone:303-772-0710
Practice Address - Fax:303-651-7702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO51120348Medicaid
C64593Medicare ID - Type Unspecified