Healthcare Provider Details

I. General information

NPI: 1871554436
Provider Name (Legal Business Name): WESTERN EAGLE COUNTY AMBULANCE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

0360 EBY CREEK ROAD
EAGLE CO
81631
US

IV. Provider business mailing address

PO BOX 1809
EAGLE CO
81631-1809
US

V. Phone/Fax

Practice location:
  • Phone: 970-328-1130
  • Fax: 970-328-1132
Mailing address:
  • Phone: 970-328-1130
  • Fax: 970-328-1132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CHRISTOPHER DICK
Title or Position: DISTRICT MANAGER
Credential:
Phone: 970-328-1130