Organization
COMMUNITY AMBULANCE SERVICE INC
Active
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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