Healthcare Provider Details

I. General information

NPI: 1760517320
Provider Name (Legal Business Name): DURANGO FIRE AND RESCUE AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

742 SHEPARD DRIVE
DURANGO CO
81301
US

IV. Provider business mailing address

PO BOX 15000
DURANGO CO
81302-8901
US

V. Phone/Fax

Practice location:
  • Phone: 970-382-6005
  • Fax:
Mailing address:
  • Phone: 970-259-2525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DAN NOONAN
Title or Position: DEPUTY CHIEF
Credential:
Phone: 970-382-6005