Maybell Volunteer Ambulance

Key facts

NPI

1700074705

Entity type

Organization (NPI type 2)

Primary specialty

Land Ambulance 3416L0300X

License

2006-56 (CO)

Legal business name

MAYBELL VOLUNTEER AMBULANCE

Practice address

114 Collum
Maybell, CO 81640

Phone

(970) 272-3209

NPI assigned

Oct 4, 2007

Organization subpart

No

Authorized official

Name

Marsha Black

Title

MGR

Phone

(801) 298-4747

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

• County of Moffat Public Health or Welfare Agency · Craig, CO · NPI 1164054292
  NPD tax ID
• County of Moffitt Ambulance · Maybell, CO · NPI 1114033024
  NPD tax ID
• Maybell Volunteer Ambulance Ambulance · Maybell, CO · NPI 1306097282
  NPD tax ID
• Moffat County Department of Social Services Ambulance · Craig, CO · NPI 1275903841
  NPD tax ID

National Provider Directory

Tax ID family

County of Moffat (5 organizations share this tax ID)

Specialties & licenses

Addresses

Other names

• Maybell Ambulance Other name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 4, 2007.

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1700074705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84",
            "city": "MAYBELL",
            "state": "CO",
            "postal_code": "816400084",
            "telephone_number": "801-298-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 COLLUM",
            "city": "MAYBELL",
            "state": "CO",
            "postal_code": "81640",
            "telephone_number": "970-272-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYBELL VOLUNTEER AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "801-298-4747"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CO",
            "license": "2006-56",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maybell Ambulance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Maybell, CO

• County of Moffitt
• Maybell Volunteer Ambulance

All providers in Maybell, CO · Land Ambulance in Colorado