Healthcare Provider Details

I. General information

NPI: 1902034820
Provider Name (Legal Business Name): BURNING MOUNTAINS FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2009
Last Update Date: 06/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 MAIN
SILT CO
81652
US

IV. Provider business mailing address

611 MAIN PO BOX 2
SILT CO
81652-0002
US

V. Phone/Fax

Practice location:
  • Phone: 970-876-5738
  • Fax: 970-876-2774
Mailing address:
  • Phone: 970-876-5738
  • Fax: 970-876-2774

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. BRIT MCLIN
Title or Position: FIRE CHIEF
Credential:
Phone: 970-876-5738