NPIMap

Organization Active NPI

Maybell Volunteer Ambulance

  • Ambulance
  • Maybell, CO
National Provider Identifier
1306097282
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
200656 Issued in CO
Legal business name
MAYBELL VOLUNTEER AMBULANCE
Practice address
314 Collam Street
Maybell, CO 81640
Phone
(970) 824-4140
NPI assigned
Oct 9, 2008
Last updated
Oct 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Authorized official

Name
Marsha Black, CPC
Title
President/Ceo
Phone
(801) 295-9886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 200656 CO Primary

Addresses

Primary practice location

314 Collam Street
Maybell, CO 81640

Mailing address

221 West Victory Way
Ste 110
Craig, CO 81625
Phone (970) 272-3209

National Provider Directory

National Provider Directory
Tax ID family
Moffat County Department of Social Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

221 W Victory Way
Ste 110
Craig, CO 81625

NPI Registry JSON

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1306097282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 WEST VICTORY WAY",
            "address_2": "STE 110",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "81625",
            "telephone_number": "970-272-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 COLLAM STREET",
            "city": "MAYBELL",
            "state": "CO",
            "postal_code": "81640",
            "telephone_number": "970-824-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYBELL VOLUNTEER AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "801-295-9886",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CO",
            "license": "200656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maybell, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.