Organization
CITYWIDE AMBULANCE, LLC
Active
Organization
CITYWIDE AMBULANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BORIS SMORODA (MANAGER)
(720) 220-1377
Entity
Organization
Contact information
Practice address
4740 FORGE RD STE 110, COLORADO SPRINGS, CO 80907-3558
(720) 220-1377
(303) 671-0237
Mailing address
19573 E IDA PL, AURORA, CO 80015-5177
(720) 220-1377
(303) 671-0237
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
Primary
2014-013
CO
Other
Enumeration date
03/09/2015
Last updated
04/20/2015
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