Organization
SOUTH Y-W AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY JANE IDLER (BUSINESS MANAGER)
(970) 362-4561
Entity
Organization
Contact information
Practice address
3262 COUNTY RD M, KIRK, CO 80824-0051
(970) 362-4561
(970) 362-4397
Mailing address
PO BOX 51, KIRK, CO 80824-0051
(970) 362-4561
(970) 362-4397
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06600639
—
CO
Enumeration date
02/09/2007
Last updated
01/19/2008
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