Provider Demographics
NPI:1720867765
Name:FORT LEWIS MESA FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:FORT LEWIS MESA FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF THE BOARD
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-588-3400
Mailing Address - Street 1:164 COUNTY ROAD 130
Mailing Address - Street 2:
Mailing Address - City:HESPERUS
Mailing Address - State:CO
Mailing Address - Zip Code:81326
Mailing Address - Country:US
Mailing Address - Phone:970-588-3400
Mailing Address - Fax:
Practice Address - Street 1:164 COUNTY ROAD 130
Practice Address - Street 2:
Practice Address - City:HESPERUS
Practice Address - State:CO
Practice Address - Zip Code:81326
Practice Address - Country:US
Practice Address - Phone:970-588-3400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance