Organization
COMMUNITY AMBULANCE SERVICE INC
Active
Parent organization
COMMUNITY AMBULANCE SERVICE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY AMBULANCE SERVICE INC
Authorized official
MR. RANDY G FAGERLUND (CHIEF)
(719) 765-4571
Entity
Organization
Contact information
Practice address
427 RUFFNER AVE., FLAGLER, CO 80815
(719) 765-4571
(303) 617-0135
Mailing address
PO BOX 101, 427 RUFFNER AVE., FLAGLER, CO 80815
(719) 765-4571
(303) 617-0135
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
19871197879
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06611131
—
CO
Enumeration date
06/13/2006
Last updated
09/29/2010
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