Provider Demographics
NPI:1336742485
Name:SUMMIT FIRE & EMS FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:SUMMIT FIRE & EMS FIRE PROTECTION DISTRICT
Other - Org Name:SUMMIT FIRE & EMS FIRE PROTECTION DISTRICT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BIRD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-262-5100
Mailing Address - Street 1:PO BOX 4910
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:CO
Mailing Address - Zip Code:80443-4910
Mailing Address - Country:US
Mailing Address - Phone:970-262-5100
Mailing Address - Fax:970-668-4146
Practice Address - Street 1:0035 COUNTY SHOPS RD
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:CO
Practice Address - Zip Code:80498
Practice Address - Country:US
Practice Address - Phone:970-262-5100
Practice Address - Fax:970-668-4146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-20
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000191003Medicaid