NORTH FORK AMBULANCE SERVICE ASSOCIATION INC; NPI #1407959752

Contact Information

NORTH FORK AMBULANCE SERVICE ASSOCIATION INC

193 WEST HOTCHKISS AVENUE
HOTCHKISS, CO 81419

Phone: 970-872-4303
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for NORTH FORK AMBULANCE SERVICE ASSOCIATION INC

NPI Number 1407959752

LBN Legal business name NORTH FORK AMBULANCE SERVICE ASSOCIATION INC

Authorized official KARINA NICEWICZ - (SECRETARY)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/05/2006

Last updated 09/19/2012 - About 14 years ago

Identifiers

CO	License #	D-02
CO	Medicaid	06632939

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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