Organization Active NPI

County of Cheyenne

Doing business as Cheyenne County Ambulance

  • Ambulance
  • Cheyenne Wells, CO
National Provider Identifier
1598747693
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF CHEYENNEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
06609432MedicaidCO

Other names 1

  • Cheyenne County Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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).

National Provider Directory

National Provider Directory
Tax ID family
Cheyenne County Nursing2 organizations share this tax ID, including this one
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.

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.

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

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.

Verify at the official NPI Registry.