| NPI | 1588607105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY G FAGERLUND Chief 719-765-4571 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: CO 19871197879) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2010-09-29 |