Healthcare Provider Details

I. General information

NPI: 1487631164
Provider Name (Legal Business Name): CITY OF GRAND JUNCTION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2005
Last Update Date: 08/30/2022
Certification Date: 08/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 S 6TH ST
GRAND JUNCTION CO
81501
US

IV. Provider business mailing address

330 S 6TH ST
GRAND JUNCTION CO
81501
US

V. Phone/Fax

Practice location:
  • Phone: 970-244-1400
  • Fax: 970-244-1471
Mailing address:
  • Phone: 970-244-1400
  • Fax: 970-244-1471

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. KENNETH WATKINS
Title or Position: FIRE CHIEF
Credential:
Phone: 970-549-5801