Monte Vista Community Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MONTE VISTA COMMUNITY AMBULANCE SERVICE

Practice address

507 S Broadway St
Monte Vista, CO 81144-1163

Phone

(719) 852-5970

Fax

(270) 744-8642

NPI assigned

Jan 21, 2020

Organization subpart

No

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

Authorized official

Name

Arlyn L Oakes

Title

Office Manager

Phone

(719) 852-5970

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

City of Monte Vista Amb2 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.

• Monte Vista Community Ambulance Service

  • Land Ambulance
  • Monte Vista, CO
  • NPI 1134248586
  NPD tax ID

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1467082263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9150",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420029150",
            "telephone_number": "270-744-8413",
            "fax_number": "270-744-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S BROADWAY ST",
            "city": "MONTE VISTA",
            "state": "CO",
            "postal_code": "811441163",
            "telephone_number": "719-852-5970",
            "fax_number": "270-744-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTE VISTA COMMUNITY AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "OAKES",
        "authorized_official_first_name": "ARLYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "719-852-5970"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06609531",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000158964",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathy McCurdy, PAC
• Ian Charles McMullen, PHARM.D., RPH.
• Ryan Jake Mellott, PT
• Mark J Mills, D.D.S.
• Monte Vista Community Ambulance Service
• Monte Vista Estates, LLC
• Monte Vista Eye Care Center Inc.
• Monte Vista Family Practice
• Monte Vista Investors, LLC
• MVPS LLC

• Land Ambulance in Monte Vista, CO
• Providers in Monte Vista, CO by specialty
• Land Ambulance in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.