Healthcare Provider Details

I. General information

NPI: 1356337729
Provider Name (Legal Business Name): DE BEQUE FIRE PROTECTION GENERAL IMPROVEMENT DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 CURTIS AVE
DE BEQUE CO
81603
US

IV. Provider business mailing address

PO BOX 60
DE BEQUE CO
81630-0060
US

V. Phone/Fax

Practice location:
  • Phone: 970-283-5475
  • Fax: 970-283-5205
Mailing address:
  • Phone: 970-283-5475
  • Fax: 970-283-5205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: MR. DONALD K CRAMER
Title or Position: CHAIRMAN
Credential:
Phone: 970-283-5475