Organization
BACA GRANDE PROPERTY OWNERS ASSOCIATION
Active
Other names
Baca/Crestone Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAM L GRIPP PARAMEDIC (ADMINISTRATOR)
(719) 256-4171
Entity
Organization
Contact information
Practice address
68575 COUNTY RD T, CRESTONE, CO 81131-0237
(719) 256-4171
(719) 256-4173
Mailing address
PO BOX 237, 68575 COUNTY ROAD T, CRESTONE, CO 81131-0237
(719) 256-4171
(719) 256-4173
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06001143
—
CO
Enumeration date
07/10/2006
Last updated
12/10/2007
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