1952327751 NPI number — ACTION CARE AMBULANCE, INC

Table of content: (NPI 1952327751)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952327751 NPI number — ACTION CARE AMBULANCE, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ACTION CARE AMBULANCE, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952327751
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14854 E HINSDALE AVE
Provider Second Line Business Mailing Address:
SUITE H
Provider Business Mailing Address City Name:
CENTENNIAL
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80112-4058
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
720-870-4705
Provider Business Mailing Address Fax Number:
720-870-4710

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14854 E HINSDALE AVE
Provider Second Line Business Practice Location Address:
SUITE H
Provider Business Practice Location Address City Name:
CENTENNIAL
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80112-4058
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
720-870-4705
Provider Business Practice Location Address Fax Number:
720-870-4710
Provider Enumeration Date:
07/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
VATTER
Authorized Official First Name:
CYNTHIA
Authorized Official Middle Name:
CRYSTAL
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
720-870-4705

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 63909766 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com