SOUTH FORK AMBULANCE ASSOCIATION; NPI #1255456968

Contact Information

SOUTH FORK AMBULANCE ASSOCIATION

28 MALL STREET
SOUTH FORK, CO 81154

Phone: 800-473-2278
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Land Transport	3416L0300X	59	Ambulance Service Provider
Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for SOUTH FORK AMBULANCE ASSOCIATION

NPI # 1255456968

LBN Legal business name SOUTH FORK AMBULANCE ASSOCIATION

Authorized official TERI BRYD - (OFFICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/20/2007

Last updated 05/17/2011 - About 15 years ago

Identifiers

CO	Medicaid	06000749
CO	Other	S063893	BS
CO	Other	826590682	RR MEDICARE
CO	Other	840765177	TRICARE

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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SOUTH FORK AMBULANCE ASSOCIATION

Contact Information

Specialty

Land Transport

Ambulance

NPI Profile & details for SOUTH FORK AMBULANCE ASSOCIATION

Reviews for SOUTH FORK AMBULANCE ASSOCIATION