Organization
WEST CUSTER COUNTY HOSPITAL DIST
Active
Other names
Custer County Ambulance Corp
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER HARKINS (EMS MANAGER)
(615) 693-0251
Entity
Organization
Contact information
Practice address
701 EDWARDS AVENUE, WESTCLIFFE, CO 81252-8588
(719) 783-4447
(719) 783-2086
Mailing address
704 EDWARDS, WESTCLIFFE, CO 81252
(719) 783-2380
(719) 783-2377
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06612238
—
CO
01
—
=========
ROCKY MOUNTAIN HEALTH PLA
CO
Enumeration date
07/07/2005
Last updated
05/13/2022
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