Organization · Type 2 NPI

Grand Lake Fire Protection District

Emergency Medical Services (Emergency Medicine) Physician · Grand Lake, CO

NPI number 1801441613 Active

Practice location

201 West Portal Road
Grand Lake, CO 80447

Mailing address

PO Box 1408
Grand Lake, CO 80447-1408

Specialties and licenses

TaxonomyCodeLicense
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004XNone listed

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

About NPI 1801441613

Grand Lake Fire Protection District's National Provider Identifier is 1801441613, issued on Aug 8, 2019. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Grand Lake, CO. The record was last updated on Aug 8, 2019.