Basic Information
| Provider Information | |||||||||
| NPI: | 1639641749 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NORTH FORK AMBULANCE HEALTH SERVICE DISTRICT | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 687 | ||||||||
| Address2: | |||||||||
| City: | HOTCHKISS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 814190687 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9708724303 | ||||||||
| FaxNumber: | 9708723910 | ||||||||
| Practice Location | |||||||||
| Address1: | 110 E HOTCHKISS AVE | ||||||||
| Address2: | |||||||||
| City: | HOTCHKISS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 81419 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9708724303 | ||||||||
| FaxNumber: | 9708723910 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/31/2018 | ||||||||
| LastUpdateDate: | 12/31/2018 | ||||||||
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| AuthorizedOfficialLastName: | STECKEL | ||||||||
| AuthorizedOfficialFirstName: | KATHRYN | ||||||||
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| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 9708724303 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | EMT I | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 3416L0300X | Y | Transportation Services | Ambulance | Land Transport |
No ID Information.