Costilla County Ambulance District is a health care provider in San Luis, CO. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||233 Main St., San Luis, CO 81152-0035, US|
|Practice Location Phone||719-672-4271|
|Practice Location Fax||719-672-4277|
|Legal Business Name||COSTILLA COUNTY AMBULANCE DISTRICT|
|Enumeration Date ?||Jan 14, 2009|
|Last Update Date ?||Jul 13, 2010|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Ambulance||Transportation Services||Land Transport|
|Provider Id||Issuer State||Issuer Type||Issuer|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Costilla County Ambulance District's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Mr. Rodney K King|
|Authorized Official Title/Position||ADMINISTRATOR|
|Authorized Official Phone Number||719-588-5001|