Organization
MILE HIGH AMBULANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IGOR BALABAN (AUTHORIZED SIGNER)
(303) 564-6636
Entity
Organization
Contact information
Practice address
8451 BRIGHTON RD, COMMERCE CITY, CO 80022-5309
(303) 564-6636
Mailing address
PO BOX 22440, DENVER, CO 80222-0440
(303) 564-6636
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
02/29/2012
Last updated
01/27/2020
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