Organization
MONTE VISTA COMMUNITY AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARLYN LEE OAKES (OFFICE MANAGER)
(719) 852-5970
Entity
Organization
Contact information
Practice address
507 S BROADWAY ST, MONTE VISTA, CO 81144-1163
(719) 852-5970
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-8413
(270) 744-8642
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06609531
—
CO
Enumeration date
03/28/2007
Last updated
03/16/2021
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