PLATTE CANYON RESCUE SERVICE INC; NPI #1669639571

Contact Information

PLATTE CANYON RESCUE SERVICE INC

153 DELWOOD DR
UNIT 2
BAILEY, CO 80421

Phone: 303-838-8809
Fax: 303-838-9343
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 PLATTE CANYON RESCUE SERVICE INC

NPI Number 1669639571

LBN Legal business name PLATTE CANYON RESCUE SERVICE INC

Authorized official JENNIFER BRISSE - (BILLING MANAGE)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/19/2008

Last updated 05/19/2008 - About 18 years ago

Identifiers

CO	License #	19871249371
CO	Medicaid	06634836

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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