Provider Demographics
NPI:1376585000
Name:HIGHLAND RESCUE TEAM AMBULANCE DISTRICT
Entity Type:Organization
Organization Name:HIGHLAND RESCUE TEAM AMBULANCE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:MARSHALL
Authorized Official - Last Name:DEBOER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-526-9571
Mailing Address - Street 1:317 S LOOKOUT MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-9371
Mailing Address - Country:US
Mailing Address - Phone:303-526-9571
Mailing Address - Fax:303-526-1137
Practice Address - Street 1:317 S LOOKOUT MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-9371
Practice Address - Country:US
Practice Address - Phone:303-526-9571
Practice Address - Fax:303-526-1137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC805447Medicare Oscar/Certification