NPIMap

Organization Active NPI

Pridemark Paramedic Services, LLC

  • Land Ambulance
  • Arvada, CO
National Provider Identifier
1295761757
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
PRIDEMARK PARAMEDIC SERVICES, LLC
Practice address
6385 W 52ND Ave
Arvada, CO 80002-4007
Phone
(303) 432-0100
Fax
(303) 432-1941
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Jennifer Lynne Jones
Title
Director of Patient Accounts
Phone
(303) 432-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

6385 W 52ND Ave
Arvada, CO 80002-4007

Mailing address

6385 W 52ND Ave
Arvada, CO 80002-4007

Other identifiers 1

IdentifierTypeStateIssuer
06001366MedicaidCO

National Provider Directory

National Provider Directory

Locations

6425 W 52nd Ave
Ste 9
Arvada, CO 80002
Phone (303) 432-0100

6385 W 52nd Ave
Arvada, CO 80002
Phone (303) 432-0100

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295761757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6385 W 52ND AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800024007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6385 W 52ND AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800024007",
            "telephone_number": "303-432-0100",
            "fax_number": "303-432-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDEMARK PARAMEDIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT ACCOUNTS",
        "authorized_official_telephone_number": "303-432-0100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06001366",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.