Organization
MAYBELL VOLUNTEER AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA BLACK CPC (PRESIDENT/CEO)
(801) 295-9886
Entity
Organization
Contact information
Practice address
314 COLLAM STREET, MAYBELL, CO 81640
(970) 824-4140
Mailing address
221 WEST VICTORY WAY, STE 110, CRAIG, CO 81625
(970) 272-3209
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
200656
CO
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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