Organization Active NPI

Montezuma County Senior Transportation

  • Non-emergency Medical Transport (VAN)
  • Cortez, CO
National Provider Identifier
1457457731
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MONTEZUMA COUNTY SENIOR TRANSPORTATION
Practice address
107 N Chestnut St
Cortez, CO 81321-3103
Phone
(970) 565-4166
Fax
(970) 565-0833
NPI assigned
Sep 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sue Fletcher
Title
Director
Phone
(970) 565-4166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X CO Primary

Addresses

Primary practice location

107 N Chestnut St
Cortez, CO 81321-3103

Mailing address

107 N Chestnut St
Cortez, CO 81321-3103
Phone (970) 565-4166

Other identifiers 2

IdentifierTypeStateIssuer
39400379MedicaidCO
COTP128805 AMedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457457731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N CHESTNUT ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213103",
            "telephone_number": "970-565-4166",
            "fax_number": "970-565-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N CHESTNUT ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213103",
            "telephone_number": "970-565-4166",
            "fax_number": "970-565-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEZUMA COUNTY SENIOR TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "970-565-4166"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39400379",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "COTP128805 A",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortez, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.