Healthcare Provider Details

I. General information

NPI: 1043893787
Provider Name (Legal Business Name): LOWER VALLEY FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2021
Last Update Date: 05/04/2021
Certification Date: 05/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

168 N MESA ST
FRUITA CO
81521-2515
US

IV. Provider business mailing address

PO BOX 520
FRUITA CO
81521-0520
US

V. Phone/Fax

Practice location:
  • Phone: 970-858-3133
  • Fax: 970-858-7620
Mailing address:
  • Phone: 970-858-3133
  • Fax: 970-858-7620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BETTE RAE BURNETT
Title or Position: AMBULANCE BILLER/CODER
Credential:
Phone: 970-858-3133