Active NPI
Legacy EMS, Inc.
- Land Ambulance
- Colorado Springs, CO
National Provider Identifier
1477280840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- LEGACY EMS, INC.
- Practice address
- 719 Seedling CT
Colorado Springs, CO 80915-3629 - Phone
- (337) 623-0056
- Fax
- (337) 623-4789
- NPI assigned
- Aug 4, 2022
- Last updated
- Jun 6, 2024
- 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
- Stephanie Kennedy
- Title
- Ar Specialist
- Phone
- (337) 623-0056
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
719 Seedling CT
Colorado Springs, CO 80915-3629
Mailing address
PO Box 527
Melville, LA 71353-0527
Phone (337) 623-0056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221117000159 | CO | Part B Supplier - Ambulance Service Supplier | 4284601469 |
1 other NPI on this enrollment Practice locations: Colorado Springs, CO |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Legacy EMS Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Colorado Springs, CO
- NPI 1164260642
-
- Land Ambulance
- Poquoson, VA
- NPI 1538878624
Locations
712 Clark Pl
Colorado Springs, CO 80915
719 Seedling Ct
Colorado Springs, CO 80915
Phone (337) 623-0056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659571200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717632000000",
"number": "1477280840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 527",
"city": "MELVILLE",
"state": "LA",
"postal_code": "713530527",
"telephone_number": "337-623-0056",
"fax_number": "337-623-4789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 SEEDLING CT",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809153629",
"telephone_number": "337-623-0056",
"fax_number": "337-623-4789"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY EMS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-04",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A",
"authorized_official_last_name": "KENNEDY",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "AR SPECIALIST",
"authorized_official_telephone_number": "337-623-0056"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.