Healthcare Provider Details

I. General information

NPI: 1851307128
Provider Name (Legal Business Name): CRESTED BUTTE FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 04/06/2021
Certification Date: 04/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 MAROON AVENUE
CRESTED BUTTE CO
81224-1009
US

IV. Provider business mailing address

PO BOX 9150
PADUCAH KY
42002-9150
US

V. Phone/Fax

Practice location:
  • Phone: 970-349-5333
  • Fax: 970-349-0438
Mailing address:
  • Phone: 270-744-9600
  • Fax: 270-744-8642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: SEAN CAFFREY
Title or Position: DISTRICT DIRECTOR
Credential:
Phone: 970-349-5333