Provider Demographics
NPI:1124797998
Name:JACKSON 105 FIRE PROTECTION DISTRICT
Entity type:Organization
Organization Name:JACKSON 105 FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JARROD
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:LAMB
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:303-688-1218
Mailing Address - Street 1:435 N PERRY PARK RD
Mailing Address - Street 2:
Mailing Address - City:SEDALIA
Mailing Address - State:CO
Mailing Address - Zip Code:80135-8519
Mailing Address - Country:US
Mailing Address - Phone:303-688-1218
Mailing Address - Fax:303-688-4419
Practice Address - Street 1:435 N PERRY PARK RD
Practice Address - Street 2:
Practice Address - City:SEDALIA
Practice Address - State:CO
Practice Address - Zip Code:80135-8519
Practice Address - Country:US
Practice Address - Phone:303-688-1218
Practice Address - Fax:303-688-4419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-07
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport