COSTILLA COUNTY AMBULANCE DISTRICT; NPI #1043840051

Contact Information

COSTILLA COUNTY AMBULANCE DISTRICT

233 MAIN ST
BUILDING 2
SAN LUIS, CO 81152

Phone: 719-672-4271
Fax: 270-744-8642
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for COSTILLA COUNTY AMBULANCE DISTRICT

NPI # 1043840051

LBN Legal business name COSTILLA COUNTY AMBULANCE DISTRICT

Authorized official SHERRI VIGIL - (OFFICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/17/2020

Last updated 03/15/2021 - About 5 years ago

Identifiers

Medicaid

9000168483

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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COSTILLA COUNTY AMBULANCE DISTRICT

Contact Information

Specialty

Land Transport

NPI Profile & details for COSTILLA COUNTY AMBULANCE DISTRICT

Reviews for COSTILLA COUNTY AMBULANCE DISTRICT