Provider Demographics
NPI:1811440860
Name:HANOVER FIRE PROTECTION DISTRICT
Entity type:Organization
Organization Name:HANOVER FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRAINING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JESSEB
Authorized Official - Middle Name:KYLE
Authorized Official - Last Name:CAVENDER
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:719-251-6315
Mailing Address - Street 1:13325 OLD PUEBLO ROAD
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN
Mailing Address - State:CO
Mailing Address - Zip Code:80817
Mailing Address - Country:US
Mailing Address - Phone:719-382-1900
Mailing Address - Fax:
Practice Address - Street 1:13325 OLD PUEBLO ROAD
Practice Address - Street 2:
Practice Address - City:FOUNTAIN
Practice Address - State:CO
Practice Address - Zip Code:80817
Practice Address - Country:US
Practice Address - Phone:719-382-1900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-26
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO15-0193416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport