| Organization Name: | EVERGREEN FIRE PROTECTION DISTRICT |
| NPI Number: | 1184734915 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NICHOLAS BOUKAS (EMS SUPERVISOR COORDINATOR) |
| Mailing Address: | 1802 Bergen Parkway Evergreen |
| State: | CO US |
| Postal Code: | 80439 |
| Phone Number: | 3036794747 |
| Fax Number: | 3036748701 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 09/25/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |