HOLLY FIRE & AMBULANCE DISTRICT NPI 1114195872

Ambulance (Land Transport) in Holly, CO

NPI 1114195872 Organization Ambulance Land Transport

About HOLLY FIRE & AMBULANCE DISTRICT

Holly Fire & Ambulance District is a provider established in Holly, Colorado specializing in ambulance (land transport) . The NPI number of Holly Fire & Ambulance District is 1114195872 and was assigned on February 2008. The practitioner's primary taxonomy code is 3416L0300X with license number 20072 (CO). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Jana Marie Rushton (Secretary/treasurer)

NPI

1114195872

Provider NameHOLLY FIRE & AMBULANCE DISTRICT
Provider Location Address115 N 1ST AVE HOLLY, CO 81047
Provider Mailing AddressPO BOX 213 HOLLY, CO 81047
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date02-15-2008
Last Update Date02-15-2008


Primary Taxonomy

Taxonomy Code3416L0300X
ClassificationAmbulance
TypeTransportation Services
SpecializationLand Transport
License No.20072
License StateCO

Business Address

HOLLY FIRE & AMBULANCE DISTRICT
115 N 1ST AVE
HOLLY, CO
ZIP 81047
Phone: (719) 537-9034

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Mailing Address

HOLLY FIRE & AMBULANCE DISTRICT
PO BOX 213
HOLLY, CO
ZIP 81047
Phone: (719) 537-9034



Authorized Official

Authorized Official Name JANA MARIE RUSHTON
Authorized Official TitleSECRETARY/TREASURER
Authorized Official Phone(719) 537-9034

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.