Organization
LIFE CARE MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS DEAN SMITH MSM, EMT-P (CEO)
97052268022
Entity
Organization
Contact information
Practice address
104 PARK ST, STERLING, CO 80751-4135
(970) 522-6802
(970) 251-9960
Mailing address
104 PARK ST, STERLING, CO 80751-4135
(970) 522-6802
(970) 251-9960
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06627533
—
CO
Enumeration date
02/26/2007
Last updated
04/28/2008
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