Healthcare Provider Details
I. General information
NPI: 1407353642
Provider Name (Legal Business Name): AMBULNZ CO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/12/2018
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3550 N ACADEMY BLVD
COLORADO SPRINGS CO
80917-5088
US
IV. Provider business mailing address
685 3RD AVE FL 9
NEW YORK NY
10017-4151
US
V. Phone/Fax
- Phone: 866-262-8569
- Fax:
- Phone: 212-273-9770
- Fax: 310-733-5689
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 341600000X |
| Taxonomy | Ambulance |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROBERT
MBONYE
Title or Position: DIRECTOR OF FINANCE
Credential:
Phone: 585-278-0502