Organization
LAS ANIMAS BENT COUNTY FIRE PROTECTION DISTRICT
Active
Other names
Bent County Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM E DEAL (VICE PRESIDENT)
(719) 456-1825
Entity
Organization
Contact information
Practice address
52 N. BENT AVENUE, LAS ANIMAS, CO 81054-1527
(719) 456-1915
(719) 456-0301
Mailing address
P.O. BOX 2, LAS ANIMAS, CO 81054-1527
(719) 456-1915
(719) 456-0301
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
050596755
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06605133
—
CO
01
—
P00197942
RAILROAD MEDICARE ID
CO
Enumeration date
12/08/2006
Last updated
05/31/2012
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