Organization
NORTHGLENN AMBULANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE JOY FAIRFIELD (LEAD BILLER)
(303) 451-6882
Entity
Organization
Contact information
Practice address
10655 WASHINGTON ST, NORTHGLENN, CO 80233-4101
(303) 451-6882
(303) 255-9953
Mailing address
PO BOX 33498, NORTHGLENN, CO 80233-0498
(303) 451-6882
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06633531
—
CO
01
—
590042214
RAILROAD MEDICARE
—
Enumeration date
09/17/2020
Last updated
09/17/2020
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