Provider Demographics
NPI:1770768699
Name:WOODLAND PARK AMBULANCE
Entity type:Organization
Organization Name:WOODLAND PARK AMBULANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:R
Authorized Official - Last Name:STEINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-680-9860
Mailing Address - Street 1:785 RED FEATHER LN
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80863-1039
Mailing Address - Country:US
Mailing Address - Phone:303-680-9860
Mailing Address - Fax:303-617-0135
Practice Address - Street 1:785 RED FEATHER LN
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:CO
Practice Address - Zip Code:80863-1039
Practice Address - Country:US
Practice Address - Phone:719-687-2291
Practice Address - Fax:303-617-0135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-09
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO06648737Medicaid
COC64873Medicare PIN