Healthcare Provider Details

I. General information

NPI: 1376585000
Provider Name (Legal Business Name): HIGHLAND RESCUE TEAM AMBULANCE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 05/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 S LOOKOUT MOUNTAIN RD
GOLDEN CO
80401-9371
US

IV. Provider business mailing address

317 S LOOKOUT MOUNTAIN RD
GOLDEN CO
80401-9371
US

V. Phone/Fax

Practice location:
  • Phone: 303-526-9571
  • Fax: 303-526-1137
Mailing address:
  • Phone: 303-526-9571
  • Fax: 303-526-1137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BARBARA MARSHALL DEBOER
Title or Position: ADMINISTRATOR
Credential:
Phone: 303-526-9571