MEDICARE: INTER-CANYON 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

General Provider Information

NPI Number	:	1881606275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTER-CANYON FIRE PROTECTION DISTRICT

Provider Business Mailing Address
First Line	:	7939 S TURKEY CREEK RD
Second Line	:
City	:	MORRISON
State	:	CO
Zip	:	80465-9552
Country	:	US
Telephone Number	:	303-697-4413
Fax Number	:	303-697-6770

Provider Business Practice Location Address
First Line	:	7939 S TURKEY CREEK RD
Second Line	:
City	:	MORRISON
State	:	CO
Zip	:	80465-9552
Country	:	US
Telephone Number	:	303-697-4413
Fax Number	:	303-697-6770

Authorized Official
Title or Position	:	CHIEF
Name	:	MR. DAN HATLESTAD
Credential	:
Telephone Number	:	303-697-4413

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	07/21/2022

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Directions to “INTER-CANYON FIRE PROTECTION DISTRICT ” Practice Location

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