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MONTE VISTA COMMUNITY AMBULANCE SERVICE NPI 1134248586


NPI Information

NPI: 1134248586
Provider Name: MONTE VISTA COMMUNITY AMBULANCE SERVICE
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 06D1011084

Address:
507 S BROADWAY ST
MONTE VISTA, CO
ZIP 81144
Phone: (719) 852-5970
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MONTE VISTA COMMUNITY AMBULANCE SERVICE is a land transport ambulance in Monte Vista, CO. MONTE VISTA COMMUNITY AMBULANCE SERVICE NPI is 1134248586. The provider is registered as an organization entity type.

The provider's business location address is:

507 S BROADWAY ST
MONTE VISTA, CO
ZIP 81144-163
Phone: (719) 852-5970

The provider's authorized official is Arlyn Lee Oakes .
The authorized official title is Office Manager and has the following contact phone number (719) 852-5970.

The CLIA number assigned to this NPI record is 06D1011084 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 3/16/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13416L0300XAmbulanceLand TransportYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
106609531MEDICAIDCOLORADO

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.