Monte Vista Community Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MONTE VISTA COMMUNITY AMBULANCE SERVICE

Practice address

507 S Broadway St
Monte Vista, CO 81144-1163

Phone

(719) 852-5970

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Arlyn Lee Oakes

Title

Office Manager

Phone

(719) 852-5970

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Tax ID family

City of Monte Vista Amb2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Monte Vista Community Ambulance Service

  • Land Ambulance
  • Monte Vista, CO
  • NPI 1467082263
  NPD tax ID

Locations

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1134248586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9150",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420029150",
            "telephone_number": "270-744-8413",
            "fax_number": "270-744-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S BROADWAY ST",
            "city": "MONTE VISTA",
            "state": "CO",
            "postal_code": "811441163",
            "telephone_number": "719-852-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTE VISTA COMMUNITY AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "OAKES",
        "authorized_official_first_name": "ARLYN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "719-852-5970"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06609531",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shania McAlear
• Cathy McCurdy, PAC
• Ian Charles McMullen, PHARM.D., RPH.
• Ryan Jake Mellott, PT
• Mark J Mills, D.D.S.
• Monte Vista Community Ambulance Service
• Monte Vista Estates, LLC
• Monte Vista Eye Care Center Inc.
• Monte Vista Family Practice
• Monte Vista Investors, LLC

• Land Ambulance in Monte Vista, CO
• Providers in Monte Vista, CO by specialty
• Land Ambulance in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.

Verify at the official NPI Registry.