Organization
CAPITAL CITY AMBULANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BORIS SMORODA (MANAGER)
(720) 220-1377
Entity
Organization
Contact information
Practice address
19573 E IDA PL, AURORA, CO 80015-5177
(720) 220-1377
(303) 671-0237
Mailing address
19573 E IDA PL, AURORA, CO 80015-5177
(720) 220-1377
(303) 671-0237
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1014313
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31982557
—
CO
Enumeration date
05/25/2007
Last updated
08/07/2009
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