Active NPI
County of Ouray
Doing business as Ouray County Ambulance
- Land Ambulance
- Ouray, CO
National Provider Identifier
1457336489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 9805610
- Legal business name
- COUNTY OF OURAY
- Doing business as
- Ouray County Ambulance
- Practice address
- 541 4TH Street
Ouray, CO 81427 - Phone
- (970) 325-7275
- Fax
- (970) 325-0452
- NPI assigned
- Dec 13, 2005
- Last updated
- Jan 15, 2014
- 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
- Kimberly L Mitchell
- Title
- Director
- Phone
- (970) 325-7275
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 9805610 | CO | Primary |
Addresses
Primary practice location
541 4TH Street
Ouray, CO 81427
Mailing address
PO Box 572
Ouray, CO 81427-0572
Phone (970) 252-9749
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06611537 | Medicaid | CO | |
| C61153 | Other | CO | MEDICARE B |
Other names 1
- Ouray County Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060228000287 | CO | Part B Supplier - Ambulance Service Supplier | 3678542586 | Practice locations: Ouray, CO |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Ouray County Public Health Agency
- Public Health or Welfare Agency
- Ouray, CO
- NPI 1073707279
3678542586
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389744000000",
"number": "1457336489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 572",
"city": "OURAY",
"state": "CO",
"postal_code": "814270572",
"telephone_number": "970-252-9749",
"fax_number": "970-249-8421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "541 4TH STREET",
"city": "OURAY",
"state": "CO",
"postal_code": "81427",
"telephone_number": "970-325-7275",
"fax_number": "970-325-0452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF OURAY",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-13",
"last_updated": "2014-01-15",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "970-325-7275"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "CO",
"license": "9805610",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06611537",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE B",
"identifier": "C61153",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ouray County Ambulance",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Ouray, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.