Provider Demographics
NPI:1013024090
Name:WEST ROUTT FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:WEST ROUTT FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATTY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-326-5154
Mailing Address - Street 1:PO BOX 1324
Mailing Address - Street 2:
Mailing Address - City:HAYDEN
Mailing Address - State:CO
Mailing Address - Zip Code:81639-1324
Mailing Address - Country:US
Mailing Address - Phone:970-276-3796
Mailing Address - Fax:
Practice Address - Street 1:500 S POPLAR
Practice Address - Street 2:
Practice Address - City:HAYDEN
Practice Address - State:CO
Practice Address - Zip Code:81639
Practice Address - Country:US
Practice Address - Phone:970-276-3796
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO54002257Medicaid
COP00304025OtherRAILROAD MEDICARE
COC64693Medicare PIN