Organization
LA VETA FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK D BRUNNER (CHAIRMAN OF THE BOARD)
(719) 742-6777
Entity
Organization
Contact information
Practice address
111 S. MAIN ST., LA VETA, CO 81055-0044
(719) 742-3656
(719) 742-3656
Mailing address
P.O. BOX 44, LA VETA, CO 81055-0044
(719) 742-3656
(719) 742-3656
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50881736
—
CO
Enumeration date
01/16/2008
Last updated
10/06/2014
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