| NPI | 1164562435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK E LEE Director 970-428-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: CO 000000) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |