Organization
NORTH FORK AMBULANCE SERVICE ASSOCIATION INC
Active
Other names
North Fork Ambulance Assn
Organization subpart
No
Provider details
NPI number
Authorized official
KARINA NICEWICZ (SECRETARY)
(970) 872-4303
Entity
Organization
Contact information
Practice address
193 WEST HOTCHKISS AVENUE, HOTCHKISS, CO 81419
(970) 872-4303
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-0834
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
D-02
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06632939
—
CO
Enumeration date
09/05/2006
Last updated
09/19/2012
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