Organization
CITY OF LAFAYETTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDY STALEY (ACCOUNTANT)
(303) 661-1246
Entity
Organization
Contact information
Practice address
401 NORTH 111TH STREET, LAFAYETTE, CO 80026-0068
(303) 665-9661
(303) 604-3862
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-8642
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33087229
—
CO
Enumeration date
11/29/2006
Last updated
07/08/2024
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