NPIMap

Organization Active NPI

Huerfano/Las Animas Area Council of Governments

  • Non-emergency Medical Transport (VAN)
  • Trinidad, CO
National Provider Identifier
1245604347
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
HUERFANO/LAS ANIMAS AREA COUNCIL OF GOVERNMENTS
Practice address
300 S Bonaventure Ave
Trinidad, CO 81082-2047
Phone
(719) 845-1133
Fax
(719) 845-1130
NPI assigned
Nov 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Authorized official

Name
Walt Boulden
Title
Executive Director
Phone
(719) 845-1133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

300 S Bonaventure Ave
Trinidad, CO 81082-2047

Mailing address

300 S Bonaventure Ave
Trinidad, CO 81082-2047
Phone (719) 845-1133

Other identifiers 2

IdentifierTypeStateIssuer
143430MedicaidCO
163607MedicaidCO

Other names 1

  • South Central Council of Governments Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Huerfano Las Animas Area Council of Governments4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1245604347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S BONAVENTURE AVE",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822047",
            "telephone_number": "719-845-1133",
            "fax_number": "719-845-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S BONAVENTURE AVE",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822047",
            "telephone_number": "719-845-1133",
            "fax_number": "719-845-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUERFANO/LAS ANIMAS AREA COUNCIL OF GOVERNMENTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "BOULDEN",
        "authorized_official_first_name": "WALT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "719-845-1133"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143430",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163607",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Central Council of Governments",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trinidad, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; 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.