Organization
GRAND JUNCTION FIRE AND RESCUE UNIT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK RENSLOW (RESCUE CAPTAIN)
(515) 738-2585
Entity
Organization
Contact information
Practice address
109 EAST MAIN ST., GRAND JUNCTION, IA 50107
(515) 738-2585
(515) 386-8098
Mailing address
109 EAST MAIN, PO BOX 255, GRAND JUNCTION, IA 50107
(515) 738-2585
(515) 386-8098
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2370200
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0485201
—
IA
01
—
11083
BLUE CROSS BLUE SHIELD
IA
Enumeration date
07/09/2006
Last updated
08/22/2020
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