NPIMap

Organization Active NPI

East Phillips County Hospital District

Doing business as Holyoke EMS

  • Land Ambulance
  • Holyoke, CO
National Provider Identifier
1407444276
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
EAST PHILLIPS COUNTY HOSPITAL DISTRICT
Doing business as
Holyoke EMS
Practice address
1001 E Johnson St
Holyoke, CO 80734-1854
Phone
(970) 854-2241
Fax
(970) 458-4581
NPI assigned
Jan 6, 2021
Last updated
Jan 4, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
EAST PHILLIPS COUNTY HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Authorized official

Name
Michael Hassell
Title
Ceo
Phone
(970) 854-2241

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X NU
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

1001 E Johnson St
Holyoke, CO 80734-1854

Mailing address

1001 E Johnson St
Holyoke, CO 80734-1854
Phone (970) 854-2241

Other names 1

  • Holyoke EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221215001398 CO Part B Supplier - Ambulance Service Supplier 9638161615 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Holyoke, CO

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
East Phillips County Hospital District9 organizations share this tax ID, including this one
Part of
East Phillips County Hospital District

Other organizations with this tax ID 8

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

Locations

520 S Interocean Ave
Holyoke, CO 80734
Phone (970) 854-2500

Practitioners & affiliated clinicians

Practitioners 40

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.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1407444276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E JOHNSON ST",
            "city": "HOLYOKE",
            "state": "CO",
            "postal_code": "807341854",
            "telephone_number": "970-854-2241",
            "fax_number": "970-458-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E JOHNSON ST",
            "city": "HOLYOKE",
            "state": "CO",
            "postal_code": "807341854",
            "telephone_number": "970-854-2241",
            "fax_number": "970-458-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST PHILLIPS COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST PHILLIPS COUNTY HOSPITAL DISTRICT",
        "enumeration_date": "2021-01-06",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "HASSELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-854-2241"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holyoke EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holyoke, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.