NPIMap

Organization Active NPI

Huerfano County Hospital District

Doing business as Spanish Peaks Regional Health Center Ambulance

  • Land Ambulance
  • Walsenburg, CO
National Provider Identifier
1366988446
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
HUERFANO COUNTY HOSPITAL DISTRICT
Doing business as
Spanish Peaks Regional Health Center Ambulance
Practice address
326 Main St
Walsenburg, CO 81089-1843
Phone
(719) 738-5100
NPI assigned
Jan 12, 2017
Last updated
Mar 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Authorized official

Name
Colette C Martin
Title
Cfo
Phone
(719) 738-5137

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary
Non-emergency Medical Transport (VAN) 343900000X CO

Addresses

Primary practice location

326 Main St
Walsenburg, CO 81089-1843

Mailing address

23500 US Highway 160
Walsenburg, CO 81089-9524
Phone (719) 738-5100

Other names 1

  • Spanish Peaks Regional Health Center Ambulance Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170821001116 CO Part B Supplier - Ambulance Service Supplier 4789591769 1 other NPI on this enrollment
Practice locations: Walsenburg, CO

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Huerfano County Hospital9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Spanish Peaks Regional Health CenterWalsenburg, CO, CCN 061316 Hospital Operational/Managerial Control Mar 16, 2011
Spanish Peaks Regional Health CenterWalsenburg, CO, CCN 06Z316 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Spanish Peaks Family ClinicWalsenburg, CO, CCN 068517 Rural health clinic Operational/Managerial Control Mar 16, 2011

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1366988446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23500 US HIGHWAY 160",
            "city": "WALSENBURG",
            "state": "CO",
            "postal_code": "810899524",
            "telephone_number": "719-738-5100",
            "fax_number": "719-738-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 MAIN ST",
            "city": "WALSENBURG",
            "state": "CO",
            "postal_code": "810891843",
            "telephone_number": "719-738-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUERFANO COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "COLETTE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "719-738-5137"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spanish Peaks Regional Health Center Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spanish Peaks Regional Health Center Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walsenburg, CO

Sources for this page

Verify at the official NPI Registry.