Hanover Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

15-019 Issued in CO

Legal business name

HANOVER FIRE PROTECTION DISTRICT

Practice address

13325 Old Pueblo Road
Fountain, CO 80817

Phone

(719) 382-1900

NPI assigned

Jul 26, 2016

Last updated

Jul 26, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jesseb Kyle Cavender, EMT

Title

Training Officer

Phone

(719) 251-6315

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1811440860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13325 OLD PUEBLO ROAD",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "80817",
            "telephone_number": "719-382-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13325 OLD PUEBLO ROAD",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "80817",
            "telephone_number": "719-382-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "CAVENDER",
        "authorized_official_first_name": "JESSEB",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "TRAINING OFFICER",
        "authorized_official_telephone_number": "719-251-6315",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CO",
            "license": "15-019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsea Gutknecht, LCSW
• Jazmine Kelise Hale
• Sarah Hale
• Cynthia J Hall
• Devon Hamilton
• Alexandra Key Haushalter
• Jada Imani Hawkins
• Healing and Prosperity LLC
• Melissa Kathryn Herforth
• Nicole Shannon Herrera, BCABA

• Land Ambulance in Fountain, CO
• Providers in Fountain, CO by specialty
• Land Ambulance in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.