MEDICARE: CARBONDALE AND RURAL FIRE PROTECTION DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance	80	CO
2	341600000X	Ambulance	81	CO
3	341600000X	Ambulance	82	CO
4	341600000X	Ambulance	84	CO
5	3416L0300X	Land Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588662159
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARBONDALE AND RURAL FIRE PROTECTION DISTRICT

Provider Business Mailing Address
First Line	:	300 MEADOWOOD DRIVE
Second Line	:
City	:	CARBONDALE
State	:	CO
Zip	:	81623
Country	:	US
Telephone Number	:	970-963-2491
Fax Number	:	970-963-0569

Provider Business Practice Location Address
First Line	:	300 MEADOWOOD DRIVE
Second Line	:
City	:	CARBONDALE
State	:	CO
Zip	:	81623
Country	:	US
Telephone Number	:	970-963-2491
Fax Number	:	970-963-0569

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	KAT BERNAT
Credential	:
Telephone Number	:	970-963-2491

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	10/11/2018

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Directions to “CARBONDALE AND RURAL FIRE PROTECTION DISTRICT ” Practice Location

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