Provider Demographics
NPI:1790243145
Name:ARKANSAS VALLEY AMBULANCE DISTRICT
Entity Type:Organization
Organization Name:ARKANSAS VALLEY AMBULANCE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CHAIR
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-688-3776
Mailing Address - Street 1:PO BOX 97
Mailing Address - Street 2:
Mailing Address - City:HOWARD
Mailing Address - State:CO
Mailing Address - Zip Code:81233-0097
Mailing Address - Country:US
Mailing Address - Phone:719-688-3776
Mailing Address - Fax:970-497-8410
Practice Address - Street 1:8274 US HIGHWAY 50
Practice Address - Street 2:
Practice Address - City:HOWARD
Practice Address - State:CO
Practice Address - Zip Code:81233
Practice Address - Country:US
Practice Address - Phone:719-688-3776
Practice Address - Fax:970-497-8410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-05
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport