Healthcare Provider Details

I. General information

NPI: 1659378099
Provider Name (Legal Business Name): TOWN OF SILT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2005
Last Update Date: 06/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 N 7TH ST
SILT CO
81652-0070
US

IV. Provider business mailing address

PO BOX 70
SILT CO
81652-0070
US

V. Phone/Fax

Practice location:
  • Phone: 970-876-2353
  • Fax:
Mailing address:
  • Phone: 970-876-2353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SHEILA MCINTYRE
Title or Position: TOWN CLERK, DIRECTOR/HUMAN RESOURCE
Credential:
Phone: 970-876-2353