Organization Active NPI

Tri State Care Flight, LLC

  • Air Ambulance
  • Greenwood Village, CO
National Provider Identifier
1508813379
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
License
A014 Issued in CO
Legal business name
TRI STATE CARE FLIGHT, LLC
Practice address
5500 S Quebec St
Greenwood Village, CO 80111-1914
Phone
(303) 792-7400
NPI assigned
May 27, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Crystal Gordon
Title
President
Phone
(303) 881-8921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X A014 CO Primary

Addresses

Primary practice location

5500 S Quebec St
Greenwood Village, CO 80111-1914

Mailing address

PO Box 398074
San Francisco, CA 94139-8074
Phone (800) 711-4045

Other practice location 1

2000 Highway 95 Ste 210
Bullhead City, AZ 86442-6057
Phone (928) 704-7027

Other identifiers 10

IdentifierTypeStateIssuer
0044547MedicaidNJ
200489880AMedicaidIN
91622361MedicaidCO
XMTA05997MedicaidCA
804840MedicaidAZ
88923266MedicaidNM
XMTA01147FMedicaidCA
XMTA06005MedicaidCA
100502776MedicaidNV
1012986950001MedicaidPA

National Provider Directory

National Provider Directory

Locations

2000 Highway 95
Ste 210
Bullhead City, AZ 86442
Phone (702) 474-0200

20890 Hacienda Blvd
California City, CA 93505
Phone (760) 373-4841

240 County Road 309A
Unit W8
Durango, CO 81303
Phone (970) 382-7790

5500 S Quebec St
Greenwood Village, CO 80111
Phone (303) 792-7400

871 Cooley Mesa Rd
Gypsum, CO 81637
Phone (970) 524-3200

830 S 4th St
Montrose, CO 81401
Phone (303) 249-6662

5315 Lomas
Carlsbad, NM 88220
Phone (575) 234-1120

20 Hospital Dr
Gallup, NM 87301
Phone (505) 301-5673

2111 W Highway 66
Hngr 21
Gallup, NM 87301
Phone (505) 301-5683

203 Hospital Dr
#27
Raton, NM 87740
Phone (575) 445-7069

111 E 21st St
Roswell, NM 88201
Phone (575) 208-0114

28 W Enterprise
Hanger 1533
Roswell, NM 88203
Phone (575) 347-9623

121 Aviation Dr
Unit 1008
Santa Fe, NM 87507
Phone (505) 424-1588

145 E Reno Ave
Ste E6
Las Vegas, NV 89119
Phone (702) 880-2100

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1508813379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398074",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941398074",
            "telephone_number": "800-711-4045",
            "fax_number": "707-571-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 S QUEBEC ST",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111914",
            "telephone_number": "303-792-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Highway 95 Ste 210",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "864426057",
            "country_code": "US",
            "telephone_number": "928-704-7027",
            "fax_number": "928-704-7028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRI STATE CARE FLIGHT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-881-8921"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "CO",
            "license": "A014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0044547",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200489880A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91622361",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XMTA05997",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804840",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88923266",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XMTA01147F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XMTA06005",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100502776",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012986950001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.