Organization
PLATTE CANYON FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED C BLACK (CHIEF)
(303) 838-5853
Entity
Organization
Contact information
Practice address
153 DELWOOD DR, BAILEY, CO 80421
(303) 838-5853
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12332771
—
CO
Enumeration date
09/29/2008
Last updated
04/05/2021
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