Provider Demographics
NPI:1477702579
Name:BEULAH FIRE PROTECTION & AMBULANCE DISTRICT
Entity Type:Organization
Organization Name:BEULAH FIRE PROTECTION & AMBULANCE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:RAYMOND
Authorized Official - Last Name:WARE
Authorized Official - Suffix:
Authorized Official - Credentials:NR EMT-P
Authorized Official - Phone:719-485-2367
Mailing Address - Street 1:PO BOX 826
Mailing Address - Street 2:
Mailing Address - City:BEULAH
Mailing Address - State:CO
Mailing Address - Zip Code:81023-0826
Mailing Address - Country:US
Mailing Address - Phone:719-485-2367
Mailing Address - Fax:719-485-2377
Practice Address - Street 1:8675 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:BEULAH
Practice Address - State:CO
Practice Address - Zip Code:81023-9740
Practice Address - Country:US
Practice Address - Phone:719-485-2367
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-12
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
341600000X, 3416L0300X
COEMS-23416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport