Organization
MANZANOLA FIRST RESPONSE UNIT
Active
Other names
Manzanola EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY R ADAMS EMT-I (SECRETARY TREASURE)
(710) 462-5272
Entity
Organization
Contact information
Practice address
100 W. SOUTH RAILROAD, MANZANOLA, CO 81058-0185
(719) 462-5272
Mailing address
100 W. SOUTH RAILROAD, P.O. BOX 185, MANZANOLA, CO 81058-0185
(719) 462-5272
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
3416L0300X
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12559032
—
CO
Enumeration date
06/26/2007
Last updated
02/12/2010
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