Provider Demographics
NPI:1720297864
Name:RYE FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:RYE FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-676-3522
Mailing Address - Street 1:PO BOX 19190
Mailing Address - Street 2:
Mailing Address - City:COLORADO CITY
Mailing Address - State:CO
Mailing Address - Zip Code:81019-0190
Mailing Address - Country:US
Mailing Address - Phone:719-676-3522
Mailing Address - Fax:719-676-3523
Practice Address - Street 1:4490 BENT BROTHERS BLVD
Practice Address - Street 2:
Practice Address - City:COLORADO CITY
Practice Address - State:CO
Practice Address - Zip Code:81019-9990
Practice Address - Country:US
Practice Address - Phone:719-676-3522
Practice Address - Fax:719-676-3523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO06001168Medicaid
CO60153Medicare PIN