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Organization

COUNTY OF HUERFANO

Active
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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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