Healthcare Provider Details

I. General information

NPI: 1588346670
Provider Name (Legal Business Name): PEYTON FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2023
Last Update Date: 08/07/2023
Certification Date: 08/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13510 RAILROAD ST
PEYTON CO
80831-5063
US

IV. Provider business mailing address

PO BOX 98
PEYTON CO
80831-0098
US

V. Phone/Fax

Practice location:
  • Phone: 719-749-2255
  • Fax:
Mailing address:
  • Phone: 719-749-2255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: JAMES OAKLEY REVELS
Title or Position: DEPUTY CHIEF
Credential: EMT-B
Phone: 719-728-9876