Provider Demographics
NPI:1285652438
Name:HUGO VOLUNTEER FIRE DEPARTMENT
Entity Type:Organization
Organization Name:HUGO VOLUNTEER FIRE DEPARTMENT
Other - Org Name:HUGO AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AMBULANCE SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:KEN
Authorized Official - Middle Name:
Authorized Official - Last Name:STROUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-743-2821
Mailing Address - Street 1:PO BOX 11
Mailing Address - Street 2:227 5TH STREET
Mailing Address - City:HUGO
Mailing Address - State:CO
Mailing Address - Zip Code:80821-0011
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:227 5TH STREET
Practice Address - Street 2:
Practice Address - City:HUGO
Practice Address - State:CO
Practice Address - Zip Code:80821-0011
Practice Address - Country:US
Practice Address - Phone:719-743-2426
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC62283Medicare ID - Type Unspecified