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Organization

CITY OF FOUNTAIN

Active
Other names
City of Fountain EMS
Organization subpart
No

Provider details

NPI number
Authorized official
DARIN ANSTINE (FIRE CHIEF)
(719) 382-7800
Entity
Organization

Contact information

Practice address
212 N SANTA FE AVE, FOUNTAIN, CO 80817-1931
(719) 382-7800
(719) 382-1002
Mailing address
116 S MAIN ST, FOUNTAIN, CO 80817-2282
(719) 382-7800
(719) 382-1002

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0002
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
96372541
CO
Enumeration date
06/16/2006
Last updated
08/22/2020
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