Healthcare Provider Details

I. General information

NPI: 1881606275
Provider Name (Legal Business Name): INTER-CANYON FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7939 S TURKEY CREEK RD
MORRISON CO
80465-9552
US

IV. Provider business mailing address

7939 S TURKEY CREEK RD
MORRISON CO
80465-9552
US

V. Phone/Fax

Practice location:
  • Phone: 303-697-4413
  • Fax: 303-697-6770
Mailing address:
  • Phone: 303-697-4413
  • Fax: 303-697-6770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: MR. DAN HATLESTAD
Title or Position: CHIEF
Credential:
Phone: 303-697-4413