Provider Demographics
NPI:1659378099
Name:TOWN OF SILT
Entity Type:Organization
Organization Name:TOWN OF SILT
Other - Org Name:WEST CARE AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TOWN CLERK, DIRECTOR/HUMAN RESOURCE
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCINTYRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-876-2353
Mailing Address - Street 1:PO BOX 70
Mailing Address - Street 2:
Mailing Address - City:SILT
Mailing Address - State:CO
Mailing Address - Zip Code:81652-0070
Mailing Address - Country:US
Mailing Address - Phone:970-876-2353
Mailing Address - Fax:
Practice Address - Street 1:231 N 7TH ST
Practice Address - Street 2:
Practice Address - City:SILT
Practice Address - State:CO
Practice Address - Zip Code:81652-0070
Practice Address - Country:US
Practice Address - Phone:970-876-2353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOWN OF SILT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-06-30
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO06060404Medicaid
CO06060404Medicaid