# GRAND LAKE FIRE PROTECTION DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801441613
- **Authorized official:** SETH ST. GERMAIN NREMT / COLORADO EMT (ASSISTANT FIRE CHIEF)
- **Authorized official phone:** (970) 627-8428

## Contact information

- **Practice address:** 201 WEST PORTAL ROAD, GRAND LAKE, CO 80447
- **Practice address phone:** (970) 627-8428
- **Mailing address:** PO BOX 1408, GRAND LAKE, CO 80447-1408
- **Mailing address phone:** (970) 627-8428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/08/2019
- **Last updated:** 08/08/2019