Healthcare Provider Details

I. General information

NPI: 1588652325
Provider Name (Legal Business Name): DEL NORTE COMMUNITY AMBULANCE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2005
Last Update Date: 10/22/2024
Certification Date: 10/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 PINE ST
DEL NORTE CO
81132-2243
US

IV. Provider business mailing address

PO BOX 9150
PADUCAH KY
42002-9150
US

V. Phone/Fax

Practice location:
  • Phone: 719-580-0763
  • Fax: 719-657-2456
Mailing address:
  • Phone: 270-744-8413
  • Fax: 270-744-8642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MS. CARLA TAYLOR
Title or Position: DIRECTOR
Credential:
Phone: 719-580-0763