Manzanola First Response Unit
Organization Active NPI Land Ambulance · Manzanola, CO
NPI 1609072685 · NPPES record last updated Feb 12, 2010
Key facts
- NPI
- 1609072685
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 3416L0300X (CO)
- Legal business name
- MANZANOLA FIRST RESPONSE UNIT
- Practice address
- 100 W. South Railroad
Manzanola, CO 81058-0185 - Phone
- (719) 462-5272
- NPI assigned
- Jun 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Shirley R Adams, EMT-I
- Title
- Secretary Treasure
- Phone
- (710) 462-5272
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 3416L0300X | CO | Yes |
Addresses
Primary practice location
100 W. South Railroad
Manzanola, CO 81058-0185
Mailing address
100 W. South Railroad
P.O. Box 185
Manzanola, CO 81058-0185
Phone (719) 462-5272
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12559032 | Medicaid | CO |
Other names
- Manzanola EMS
Other providers in Manzanola, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.