Healthcare Provider Details

I. General information

NPI: 1144986027
Provider Name (Legal Business Name): DURANGO FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2021
Last Update Date: 11/15/2021
Certification Date: 11/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 SHEPPARD DR
DURANGO CO
81303-0000
US

IV. Provider business mailing address

PO BOX 269110
SACRAMENTO CA
95826-9110
US

V. Phone/Fax

Practice location:
  • Phone: 970-382-6000
  • Fax: 970-382-6018
Mailing address:
  • Phone: 916-669-4607
  • Fax: 916-471-5107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SCOTT SHOLES
Title or Position: DEPUTY FIRE CHIEF
Credential:
Phone: 970-382-6039