NPIMap

Organization Active NPI

Edge Medical Services

  • Birthing Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1366980682
Registry record updated Dec 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
Legal business name
EDGE MEDICAL SERVICES
Practice address
152 West Colorado Ave
Colorado Springs, CO 80903
Phone
(800) 348-4623
NPI assigned
Feb 7, 2017
Organization subpart
Yes
Parent organization
EDGE MEDICAL SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 22, 2024

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

Authorized official

Name
Reagan Roberts
Title
Admin
Phone
(800) 348-4623

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

152 West Colorado Ave
Colorado Springs, CO 80903

Mailing address

1141 N Loop 1604 E # 105187
San Antonio, TX 78232-1339
Phone (800) 348-4623

National Provider Directory

National Provider Directory
Tax ID family
Edge Medical Services92 organizations share this tax ID, including this one
Part of
Edge Medical Services

Organizations with this tax ID in the same state 11

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

152 W Colorado Ave
Colorado Springs, CO 80903

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734825600000",
    "number": "1366980682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 N LOOP 1604 E # 105187",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321339",
            "telephone_number": "800-348-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 WEST COLORADO AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80903",
            "telephone_number": "800-348-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGE MEDICAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EDGE MEDICAL SERVICES INC",
        "enumeration_date": "2017-02-07",
        "last_updated": "2024-12-22",
        "certification_date": "2024-12-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "REAGAN",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "800-348-4623"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2024; 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.