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South Park Ambulance District

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.

physician-icon Basic Information

Practice Location 911 Castello Avenue, Fairplay, CO 80440, US
Practice Location Phone719-836-2055
Practice Location Fax
Legal Business NameSOUTH PARK AMBULANCE DISTRICT
NPI ?1811091051
Entity TypeOrganization
Enumeration Date ? Sep 8, 2006
Last Update Date ? Jul 9, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of South Park Ambulance District

SpecialtySpecializationLicenseLicense State
AmbulanceLand Transport

legacy-id-icon Legacy Provider IDs of South Park Ambulance District

Provider IdIssuer StateIssuer TypeIssuer
06000442ColoradoMedicaid

official-icon Authorized Official of South Park Ambulance District

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/PositionCHIEF ADMINISTRATIVE OFFICER
Authorized Official Phone Number719-836-2055