Organization
MONTEZUMA COUNTY SENIOR TRANSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE FLETCHER (DIRECTOR)
(970) 565-4166
Entity
Organization
Contact information
Practice address
107 N CHESTNUT ST, CORTEZ, CO 81321-3103
(970) 565-4166
(970) 565-0833
Mailing address
107 N CHESTNUT ST, CORTEZ, CO 81321-3103
(970) 565-4166
(970) 565-0833
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04141123
—
CO
05
—
COTP165972 A
—
CO
Enumeration date
09/15/2006
Last updated
08/22/2020
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