Provider Demographics
NPI:1255400107
Name:FREDERICK AREA FIRE PROTECTION DISTRICT
Entity type:Organization
Organization Name:FREDERICK AREA FIRE PROTECTION DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-484-3362
Mailing Address - Street 1:8426 KOSMERL PL
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:CO
Mailing Address - Zip Code:80504-5444
Mailing Address - Country:US
Mailing Address - Phone:303-833-2742
Mailing Address - Fax:303-833-3736
Practice Address - Street 1:8426 KOSMERL PL
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:CO
Practice Address - Zip Code:80504-5444
Practice Address - Country:US
Practice Address - Phone:303-833-2742
Practice Address - Fax:303-833-3736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO07276362Medicaid
CO07276362Medicaid