Active NPI
Tazco, Inc.
- Taxi
- Grand Junction, CO
National Provider Identifier
1447641279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Taxi
- License
- 19429
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04143020 | Medicaid | CO | |
| 06001218 | Medicaid | CO |
National Provider Directory
National Provider Directory- Tax ID family
- Tazco Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Taxi
- Grand Junction, CO
- NPI 1013671791
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.