Organization
LAS ANIMAS BENT COUNTY FIRE PROTECTION DISTRICT
Active
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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