| NPI | 1679617781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA J. MOELLENBERG Director 970-354-7285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 146M00000X Emergency Medical Technician, Intermediate |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2025-09-11 |