North Fork Ambulance Service Association Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

D-02 Issued in CO

Legal business name

NORTH FORK AMBULANCE SERVICE ASSOCIATION INC

Practice address

193 West Hotchkiss Avenue
Hotchkiss, CO 81419

Phone

(970) 872-4303

NPI assigned

Sep 5, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karina Nicewicz

Title

Secretary

Phone

(970) 872-4303

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• North Fork Ambulance Assn Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1407959752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9150",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420029150",
            "telephone_number": "270-744-9600",
            "fax_number": "270-744-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 WEST HOTCHKISS AVENUE",
            "city": "HOTCHKISS",
            "state": "CO",
            "postal_code": "81419",
            "telephone_number": "970-872-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FORK AMBULANCE SERVICE ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "NICEWICZ",
        "authorized_official_first_name": "KARINA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "970-872-4303"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CO",
            "license": "D-02",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06632939",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Fork Ambulance Assn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shayna Louise Keller, ND
• Amanda Michelle Lafalce, PT, DPT
• Longitude Integrative PLLC
• Nicholas a Sampalis, DMD, PLLC.
• North Fork Ambulance Health Service District
• North Fork Psychological Associates
• North Fork Vision Center Inc
• Arti Francis Pelton, PHARMD
• Rachel'S Hope
• Diane Elaine Reddin, O.D.

• Ambulance in Hotchkiss, CO
• Providers in Hotchkiss, CO by specialty
• Ambulance in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.