Organization
PENROSE VOLUNTEER FIRE DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALVIN SUNDERMAN (AMBULANCE DIRECTOR)
(719) 372-3001
Entity
Organization
Contact information
Practice address
2233 EAST MAIN STREET, MONTROSE, CO 81401
(970) 249-3700
(970) 497-8410
Mailing address
207 BROADWAY, PENROSE, CO 81240
(719) 372-3001
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04801776
—
CO
Enumeration date
04/13/2009
Last updated
01/15/2014
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