NPIMap

Organization Active NPI

Red Willows, Inc.

Doing business as San Luis Valley Transportation

  • Transportation Broker
  • Alamosa, CO
National Provider Identifier
1043345572
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
Legal business name
RED WILLOWS, INC.
Doing business as
San Luis Valley Transportation
Practice address
1110 West Avenue
Alamosa, CO 81101
Phone
(719) 589-5734
Fax
(719) 587-9047
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kindra D Lambert
Title
Owner Business
Phone
(719) 589-5734

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X
Transportation Broker 347E00000X Primary

Addresses

Primary practice location

1110 West Avenue
Alamosa, CO 81101

Mailing address

PO Box 1316
Alamosa, CO 81101
Phone (719) 589-5734

Other identifiers 2

IdentifierTypeStateIssuer
27800741MedicaidCO
25271881MedicaidCO

Other names 1

  • San Luis Valley Transportation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Red Willows Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

183 Broadway Ave
Alamosa, CO 81101
Phone (719) 589-5734

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1043345572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1316",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "81101",
            "telephone_number": "719-589-5734",
            "fax_number": "719-587-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 WEST AVENUE",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "81101",
            "telephone_number": "719-589-5734",
            "fax_number": "719-587-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED WILLOWS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "LAMBERT",
        "authorized_official_first_name": "KINDRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER BUSINESS",
        "authorized_official_telephone_number": "719-589-5734"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27800741",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25271881",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Luis Valley Transportation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Luis Valley Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alamosa, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.