Organization Active NPI

Tazco, Inc.

  • Taxi
  • Grand Junction, CO
National Provider Identifier
1447641279
Registry record updated Jun 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
License
19429 Issued in CO
Legal business name
TAZCO, INC.
Practice address
1321 Ute Ave
Grand Junction, CO 81501-4619
Phone
(970) 361-3130
Fax
(970) 361-3130
NPI assigned
Feb 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2021

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

Authorized official

Name
Kelly Milan
Title
General Manager
Phone
(954) 558-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Taxi 344600000X 19429 CO Primary

Addresses

Primary practice location

1321 Ute Ave
Grand Junction, CO 81501-4619

Mailing address

PO Box 717
Grand Junction, CO 81502-0717
Phone (970) 361-3130

Other identifiers 2

IdentifierTypeStateIssuer
04143020MedicaidCO
06001218MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Tazco Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1321 Ute Ave
Grand Junction, CO 81501
Phone (970) 361-3130

NPI Registry JSON

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622851200000",
    "number": "1447641279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 717",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815020717",
            "telephone_number": "970-361-3130",
            "fax_number": "970-361-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 UTE AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815014619",
            "telephone_number": "970-361-3130",
            "fax_number": "970-361-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAZCO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-16",
        "last_updated": "2021-06-05",
        "certification_date": "2021-06-05",
        "status": "A",
        "authorized_official_last_name": "MILAN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "954-558-1249"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "CO",
            "license": "19429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04143020",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06001218",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2021; 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.