SOUTH FORK AMBULANCE ASSOCIATION NPI 1255456968

NPI Information

  • NPI: 1255456968
  • Provider Name: SOUTH FORK AMBULANCE ASSOCIATION
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • Address: 28 MALL STREET
    SOUTH FORK, CO
    ZIP 81154
  • Phone: (800) 473-2278

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NPI Details

SOUTH FORK AMBULANCE ASSOCIATION is a land transport ambulance in South Fork, CO. SOUTH FORK AMBULANCE ASSOCIATION NPI is 1255456968. The provider is registered as an organization entity type.

The provider's business location address is:

28 MALL STREET
SOUTH FORK, CO
ZIP 81154
Phone: (800) 473-2278

The provider's authorized official is Teri Bryd .
The authorized official title is Office Manager and has the following contact phone number (719) 852-2362.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 5/17/2011.

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
1341600000XAmbulanceNo
23416L0300XAmbulanceLand 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C64123MEDICARE PINCOLORADO
206000749MEDICAIDCOLORADO
3S063893OTHERCOLORADOBS
4826590682OTHERCOLORADORR MEDICARE
5840765177OTHERCOLORADOTRICARE

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: 11/21/2025

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