Organization
BACA GRANDE PROPERTY OWNERS ASSOCIATION
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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