South Park Ambulance District is a health care provider in Fairplay, CO. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||911 Castello Avenue, Fairplay, CO 80440, US|
|Practice Location Phone||719-836-2055|
|Practice Location Fax|
|Legal Business Name||SOUTH PARK AMBULANCE DISTRICT|
|Enumeration Date ?||Sep 8, 2006|
|Last Update Date ?||Jul 9, 2007|
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 South Park 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||Lissa Mattson|
|Authorized Official Title/Position||CHIEF ADMINISTRATIVE OFFICER|
|Authorized Official Phone Number||719-836-2055|