UPPER SAN JUAN HEALTH SERVICE DISTRICT NPI 1780727065

NPI Information

NPI: 1780727065
Provider Name: UPPER SAN JUAN HEALTH SERVICE DISTRICT
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
189 N PAGOSA BLVD
PAGOSA SPRINGS, CO
ZIP 81147
Phone: (970) 731-3700
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UPPER SAN JUAN HEALTH SERVICE DISTRICT is a land transport ambulance in Pagosa Springs, CO. UPPER SAN JUAN HEALTH SERVICE DISTRICT NPI is 1780727065. The provider is registered as an organization entity type.

The provider's business location address is:

189 N PAGOSA BLVD
PAGOSA SPRINGS, CO
ZIP 81147
Phone: (970) 731-3700
Fax: (970) 731-3707

The provider's authorized official is Rhonda Webb .
The authorized official title is Ceo, Cmo and has the following contact phone number (970) 731-3700.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 9/10/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	343900000X	Non-emergency Medical Transport (VAN)				No
2	3416L0300X	Ambulance	Land Transport			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	06603138	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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