Organization
UTE PASS REGIONAL HEALTH SERVICE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY JOHN DIENST (CEO)
(719) 686-6691
Entity
Organization
Contact information
Practice address
785 RED FEATHER LN, WOODLAND PARK, CO 80863-1039
(719) 687-2291
(719) 687-6410
Mailing address
PO BOX 149, WOODLAND PARK, CO 80866-0149
(719) 687-2291
(719) 687-6410
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
CO
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06648737
—
CO
Enumeration date
06/03/2006
Last updated
05/01/2024
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