Organization
WEST ROUTT FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATTY BRUCHEZ (COORDINATOR)
(970) 326-5154
Entity
Organization
Contact information
Practice address
500 S POPLAR, HAYDEN, CO 81639
(970) 276-3796
Mailing address
PO BOX 1324, HAYDEN, CO 81639-1324
(970) 276-3796
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54002257
—
CO
01
—
P00304025
RAILROAD MEDICARE
CO
Enumeration date
08/24/2006
Last updated
08/29/2013
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