BACA GRANDE PROPERTY OWNERS ASSOCIATION NPI 1164456828

NPI Information

BACA GRANDE PROPERTY OWNERS ASSOCIATION is a land transport ambulance in Crestone, CO. BACA GRANDE PROPERTY OWNERS ASSOCIATION NPI is 1164456828. The provider is registered as an organization entity type.
The provider Is Doing Business As Baca/crestone Ambulance Service.

The provider's business location address is:

68575 COUNTY RD T
CRESTONE, CO
ZIP 81131-237
Phone: (719) 256-4171
Fax: (719) 256-4173

The provider's authorized official is Pam L Gripp .
The authorized official title is Administrator and has the following contact phone number (719) 256-4171.

The CLIA number assigned to this NPI record is 06D1008761 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 12/10/2007.

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:

Other Identifiers

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