Organization Active NPI

Sedgwick County

  • Land Ambulance
  • Julesburg, CO
National Provider Identifier
1245217637
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
SEDGWICK COUNTY
Practice address
315 Cedar St
Julesburg, CO 80737-1532
Phone
(970) 474-3313
Fax
(970) 474-9885
NPI assigned
Dec 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Authorized official

Name
Tasha Harris
Title
Director
Phone
(531) 895-5853

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X CO
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

315 Cedar St
Julesburg, CO 80737-1532

Mailing address

10802 Farnam Dr
Omaha, NE 68154-3237
Phone (877) 218-4392

Other identifiers 4

IdentifierTypeStateIssuer
590042202OtherCOPALMETTO GBA
846000801OtherCOTRICARE
06638035MedicaidCO
35919OtherCOBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080218000493 CO Part B Supplier - Ambulance Service Supplier 3375626070 Practice locations: Julesburg, CO

National Provider Directory

National Provider Directory

Locations

510 E 1st St
Julesburg, CO 80737
Phone (970) 474-3313

315 Cedar St
Ste 140
Julesburg, CO 80737
Phone (970) 474-3313

315 Cedar St
Julesburg, CO 80737
Phone (970) 474-3313

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sedgwick County Memorial HospitalJulesburg, CO, CCN 061310 Hospital Operational/Managerial Control May 1, 2009
Sedgwick County Memorial HospitalJulesburg, CO, CCN 06Z310 Hospital Operational/Managerial Control May 1, 2009
Valley Medical Clinic - JulesburgJulesburg, CO, CCN 063995 Rural health clinic Operational/Managerial Control May 1, 2010
Valley Medical Clinic - Big SpringsBig Springs, NE, CCN 283424 Rural health clinic Operational/Managerial Control May 1, 2010

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1245217637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10802 FARNAM DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543237",
            "telephone_number": "877-218-4392",
            "fax_number": "877-343-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 CEDAR ST",
            "city": "JULESBURG",
            "state": "CO",
            "postal_code": "807371532",
            "telephone_number": "970-474-3313",
            "fax_number": "970-474-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDGWICK COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TASHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "531-895-5853"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "590042202",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "846000801",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06638035",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "35919",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Julesburg, CO

Sources for this page

Verify at the official NPI Registry.