Costilla County Ambulance District

LBN: Costilla County Ambulance District
Costilla County Ambulance District is an health care organization with primary practice located at 233 Main St Building 2, San Luis CO 81152. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Costilla County Ambulance District can be contacted via phone (719) 672-4271, or through Vigil, Sherri Marie via phone (719) 580-2031.

Contact Information

Primary practice address
233 Main St Building 2 San Luis CO 81152
Phone: (719) 672-4271
Fax: (270) 744-8642
Website:
Map and Directions
Authorized official contact:
Name: Vigil, Sherri Marie
Phone: (719) 580-2031

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X

Profile Details

NPI number 1043840051
LBN Legal business name Costilla County Ambulance District
DBA Doing business as
Authorized official Vigil, Sherri Marie
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2020
Last updated Mar 15th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043840051 NPPES
Colorado MEDICAID 9000168483

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