Healthcare Provider Details

I. General information

NPI: 1689702615
Provider Name (Legal Business Name): SILVERTON SAN JUAN COUNTY AMBULANCE ASSOCIATION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 07/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 GREENE STREET
SILVERTON CO
81433-0493
US

IV. Provider business mailing address

2233 E MAIN ST
MONTROSE CO
81401-3831
US

V. Phone/Fax

Practice location:
  • Phone: 970-387-5887
  • Fax: 970-387-5170
Mailing address:
  • Phone: 970-765-0818
  • Fax: 970-497-8410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CHELSEA CATHERINE GARDNER
Title or Position: ASSISTANT DIRECTOR
Credential:
Phone: 970-819-5007