Organization
UTE MOUNTAIN UTE PUBLIC SAFETY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL MELLOTT (BILLING SPECIALIST)
(970) 562-4788
Entity
Organization
Contact information
Practice address
101 NORTH BEAR DANCE RD, TOWAC, CO 81334
(970) 564-5446
(970) 564-5443
Mailing address
PO BOX 352, PLEASANT VIEW, CO 81331-0352
(970) 562-4788
(970) 562-4302
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
07/26/2007
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