Provider Demographics
NPI:1366572208
Name:KARVAL FIRE PROTECTION DISTRICT
Entity type:Organization
Organization Name:KARVAL FIRE PROTECTION DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EMS COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:LANE
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-760-0755
Mailing Address - Street 1:PO BOX 21
Mailing Address - Street 2:
Mailing Address - City:KARVAL
Mailing Address - State:CO
Mailing Address - Zip Code:80823-0021
Mailing Address - Country:US
Mailing Address - Phone:719-760-0755
Mailing Address - Fax:
Practice Address - Street 1:28905 COUNTY ROAD S
Practice Address - Street 2:
Practice Address - City:KARVAL
Practice Address - State:CO
Practice Address - Zip Code:80823-0035
Practice Address - Country:US
Practice Address - Phone:719-446-5344
Practice Address - Fax:186-624-6889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO74-252-0139OtherTAX ID NUMBER