Organization Active NPI

Fremont County

  • Non-emergency Medical Transport (VAN)
  • Canon City, CO
National Provider Identifier
1366593196
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
06200224 Issued in CO
Legal business name
FREMONT COUNTY
Practice address
172 Justice Center Rd
Canon City, CO 81212-9354
Phone
(719) 275-2318
Fax
(719) 275-5206
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Steven A Clifton
Title
Director
Phone
(719) 275-2318

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 09000225 CO
Non-emergency Medical Transport (VAN) 343900000X 06200224 CO Primary

Addresses

Primary practice location

172 Justice Center Rd
Canon City, CO 81212-9354

Mailing address

172 Justice Center Rd
Canon City, CO 81212-9354
Phone (719) 275-2318

Other identifiers 2

IdentifierTypeStateIssuer
06200224MedicaidCO
09000225MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1366593196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 JUSTICE CENTER RD",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129354",
            "telephone_number": "719-275-2318",
            "fax_number": "719-275-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 JUSTICE CENTER RD",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129354",
            "telephone_number": "719-275-2318",
            "fax_number": "719-275-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CLIFTON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "719-275-2318",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CO",
            "license": "09000225",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CO",
            "license": "06200224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06200224",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09000225",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canon City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.