Active NPI
County of Cheyenne
Doing business as Cheyenne County Ambulance
- Ambulance
- Cheyenne Wells, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- COUNTY OF CHEYENNE
- Doing business as
- Cheyenne County Ambulance
- Practice address
- 602 N 6TH St W
Cheyenne Wells, CO 80810-5125 - Phone
- (719) 767-5661
- NPI assigned
- Nov 16, 2005
- Last updated
- Feb 25, 2020
- Organization subpart
- Yes
- Parent organization
- COUNTY OF CHEYENNE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Darla Hansen
- Title
- Billing Manager
- Phone
- (719) 767-5661
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | NU | Primary |
Addresses
Primary practice location
602 N 6TH St W
Cheyenne Wells, CO 80810-5125
Mailing address
PO Box 578
Cheyenne Wells, CO 80810-0578
Phone (719) 767-5661
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06609432 | Medicaid | CO |
Other names 1
- Cheyenne County Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100708000264 | CO | Part B Supplier - Ambulance Service Supplier | 9739267048 | Practice locations: Cheyenne Wells, CO |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Cheyenne County Nursing Public Health
- Public Health or Welfare Agency
- Cheyenne Wells, CO
- NPI 1386706505
9739267048
National Provider Directory
National Provider Directory- Tax ID family
- Cheyenne County Nursing
- Part of
- Cheyenne County Nursing
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Cheyenne County Nursing Public Health
- Public Health or Welfare Agency
- Cheyenne Wells, CO
- NPI 1386706505
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
102 E 2nd Ave
Kit Carson, CO 80825
Phone (719) 962-3501
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Cheyenne County Nursing Public Health
- Public Health or Welfare Agency
- Cheyenne Wells, CO
- NPI 1386706505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582588800000",
"number": "1598747693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 578",
"city": "CHEYENNE WELLS",
"state": "CO",
"postal_code": "808100578",
"telephone_number": "719-767-5661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 N 6TH ST W",
"city": "CHEYENNE WELLS",
"state": "CO",
"postal_code": "808105125",
"telephone_number": "719-767-5661"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF CHEYENNE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COUNTY OF CHEYENNE",
"enumeration_date": "2005-11-16",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A",
"authorized_official_last_name": "HANSEN",
"authorized_official_first_name": "DARLA",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "719-767-5661"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06609432",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cheyenne County Ambulance",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Cheyenne County Ambulance",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cheyenne Wells, CO
- Cheyenne County Hospital District (Manor Tender Care)
- Cheyenne County Hospital District III (Cheyenne Manor)
- Genna Mae Cochran, APN
- Christine A Connolly, MD
- County of Cheyenne (Cheyenne County Nursing Public Health)
- Steven Givan
- Healthone Clinic Services - Bariatric Medicine LLC
- Healthone Heart Care LLC
- Inspire Consulting & Counseling, PC, LLC
- Keefe Memorial Health Service District (Keefe Memorial Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.