Organization
COUNTY OF HUERFANO
Active
Other names
Huerfano Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRY ANN MANN PARAMEDIC (DIRECTOR)
(719) 738-1919
Entity
Organization
Contact information
Practice address
326 MAIN ST, WALSENBURG, CO 81089-1843
(719) 738-3000
Mailing address
326 MAIN ST, WALSENBURG, CO 81089-1843
(719) 738-3000
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06001028
—
CO
01
—
1228420
UNITED MINE WORKERS
CO
01
—
893829
FEDERAL BLACK LUNG PROGRAM
—
Enumeration date
07/07/2005
Last updated
02/16/2015
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