| NPI | 1164456828 |
|---|---|
| Doing Business As | BACA/CRESTONE AMBULANCE SERVICE |
| Entity Type | Organization |
| Authorized Contact | PAM L GRIPP Administrator 719-256-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-12-10 |