Active NPI
Mile High Ambulance, LLC
- Land Ambulance
- Commerce City, CO
National Provider Identifier
1487928040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- MILE HIGH AMBULANCE, LLC
- Practice address
- 8451 Brighton Rd
Commerce City, CO 80022-5309 - Phone
- (303) 564-6636
- NPI assigned
- Feb 29, 2012
- 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
- Igor Balaban
- Title
- Authorized Signer
- Phone
- (303) 564-6636
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | |||
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
8451 Brighton Rd
Commerce City, CO 80022-5309
Mailing address
PO Box 22440
Denver, CO 80222-0440
Phone (303) 564-6636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120606000705 | CO | Part B Supplier - Ambulance Service Supplier | 1951565746 | Practice locations: Englewood, CO |
National Provider Directory
National Provider Directory- Tax ID family
- Mile High Ambulance LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Englewood, CO
- NPI 1710616263
Locations
10686 E Bethany Dr
Aurora, CO 80014
Phone (303) 564-6636
8451 Brighton Rd
Commerce City, CO 80022
Phone (303) 564-6636
8200 E Pacific Pl
Ste 210
Denver, CO 80231
Phone (303) 564-6636
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Basic Emergency Medical Technician
- Englewood, CO
- NPI 1760307797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580083200000",
"number": "1487928040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22440",
"city": "DENVER",
"state": "CO",
"postal_code": "802220440",
"telephone_number": "303-564-6636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8451 BRIGHTON RD",
"city": "COMMERCE CITY",
"state": "CO",
"postal_code": "800225309",
"telephone_number": "303-564-6636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILE HIGH AMBULANCE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-29",
"last_updated": "2020-01-27",
"certification_date": "2020-01-27",
"status": "A",
"authorized_official_last_name": "BALABAN",
"authorized_official_first_name": "IGOR",
"authorized_official_title_or_position": "AUTHORIZED SIGNER",
"authorized_official_telephone_number": "303-564-6636"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Commerce City, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.