MEDICARE: PLATTEVILLE-GILLCREST 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	3416L0300X	Land Ambulance

General Provider Information

NPI Number	:	1851869473
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLATTEVILLE-GILLCREST FIRE PROTECTION DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 407
Second Line	:
City	:	PLATTEVILLE
State	:	CO
Zip	:	80651-0407
Country	:	US
Telephone Number	:	970-817-3168
Fax Number	:

Provider Business Practice Location Address
First Line	:	202 MAIN ST
Second Line	:
City	:	PLATTEVILLE
State	:	CO
Zip	:	80651
Country	:	US
Telephone Number	:	970-817-3168
Fax Number	:

Authorized Official
Title or Position	:	EMS CAPTAIN
Name	:	MR. CAMERON LEE DURAN
Credential	:
Telephone Number	:	970-817-3168

Provider Enumeration Date	:	11/13/2018
Last Update Date	:	04/09/2026

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