Active NPI
Northglenn Ambulance, Inc.
- Land Ambulance
- Northglenn, CO
National Provider Identifier
1124634035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- NORTHGLENN AMBULANCE, INC.
- Practice address
- 10655 Washington St
Northglenn, CO 80233-4101 - Phone
- (303) 451-6882
- Fax
- (303) 255-9953
- NPI assigned
- Sep 17, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melanie Joy Fairfield
- Title
- Lead Biller
- Phone
- (303) 451-6882
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
10655 Washington St
Northglenn, CO 80233-4101
Mailing address
PO Box 33498
Northglenn, CO 80233-0498
Phone (303) 451-6882
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590042214 | Other | RAILROAD MEDICARE | |
| 06633531 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090130000452 | CO | Part B Supplier - Ambulance Service Supplier | 1557425808 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Northglenn, CO |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Northglenn Ambulance Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Northglenn, CO
- NPI 1801879887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600300800000",
"number": "1124634035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33498",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802330498",
"telephone_number": "303-451-6882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10655 WASHINGTON ST",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802334101",
"telephone_number": "303-451-6882",
"fax_number": "303-255-9953"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHGLENN AMBULANCE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-17",
"last_updated": "2020-09-17",
"certification_date": "2020-09-14",
"status": "A",
"authorized_official_last_name": "FAIRFIELD",
"authorized_official_first_name": "MELANIE",
"authorized_official_middle_name": "JOY",
"authorized_official_title_or_position": "LEAD BILLER",
"authorized_official_telephone_number": "303-451-6882"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590042214",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06633531",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Northglenn, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.