Organization
TRINIDAD AMBULANCE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL MORENO EMS CHIEF (EXECUTIVE DIRECTOR)
(719) 846-6886
Entity
Organization
Contact information
Practice address
939 ROBINSON AVE, TRINIDAD, CO 81082-2832
(719) 846-6886
(719) 846-8431
Mailing address
939 ROBINSON AVE, TRINIDAD, CO 81082-2832
(719) 846-6886
(719) 846-8431
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06000327
—
CO
01
—
2205264
AETNA
CO
Enumeration date
04/12/2007
Last updated
01/17/2023
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