Organization Active NPI

City of Grand Junction

  • Land Ambulance
  • Grand Junction, CO
National Provider Identifier
1487631164
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF GRAND JUNCTION
Practice address
330 S 6TH St
Grand Junction, CO 81501
Phone
(970) 244-1400
Fax
(970) 244-1471
NPI assigned
Dec 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Authorized official

Name
Mr. Kenneth Watkins
Title
Fire Chief
Phone
(970) 549-5801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

330 S 6TH St
Grand Junction, CO 81501

Mailing address

330 S 6TH St
Grand Junction, CO 81501
Phone (970) 244-1400

Other identifiers 1

IdentifierTypeStateIssuer
06619936MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031210000133 CO Part B Supplier - Ambulance Service Supplier 4385540491 Practice locations: Grand Junction, CO

National Provider Directory

National Provider Directory
Tax ID family
City of Grand Junction2 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.

Locations

251 27 Rd
Grand Junction, CO 81503
Phone (970) 244-1404

625 Ute Ave
Grand Junction, CO 81501
Phone (970) 549-5830

2827 Patterson Rd
Grand Junction, CO 81506
Phone (970) 244-1402

333 West Ave
Unit E
Grand Junction, CO 81501
Phone (970) 244-1467

2155 Broadway
#5
Grand Junction, CO 81507
Phone (970) 549-5830

330 S 6th St
Grand Junction, CO 81501
Phone (970) 244-1400

2827 Patterson Rd
#2
Grand Junction, CO 81506
Phone (970) 549-5830

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1487631164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 S 6TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "81501",
            "telephone_number": "970-244-1400",
            "fax_number": "970-244-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S 6TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "81501",
            "telephone_number": "970-244-1400",
            "fax_number": "970-244-1471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF GRAND JUNCTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-23",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "970-549-5801",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06619936",
            "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 Aug 30, 2022; 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.

Verify at the official NPI Registry.