Organization Active NPI

Med Lift LLC

  • Non-emergency Medical Transport (VAN)
  • Pueblo, CO
National Provider Identifier
1619654878
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MED LIFT LLC
Practice address
1517 E 6TH St
Pueblo, CO 81001-3231
Phone
(171) 956-5710
NPI assigned
Jun 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Authorized official

Name
Kirsten Denise BacaNPI 1588341937
Title
Owner
Phone
(719) 565-7104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

1517 E 6TH St
Pueblo, CO 81001-3231

Mailing address

PO Box 245
Fort Thompson, SD 57339-0245
Phone (719) 565-7104

Other practice location 1

250 Antelope Dr
Chamberlain, SD 57325-1009
Phone (719) 565-7104

Other names 1

  • Med Lift LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1619654878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 245",
            "city": "FORT THOMPSON",
            "state": "SD",
            "postal_code": "573390245",
            "telephone_number": "719-565-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 E 6TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810013231",
            "telephone_number": "171-956-5710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Antelope Dr",
            "address_purpose": "LOCATION",
            "city": "Chamberlain",
            "state": "SD",
            "postal_code": "573251009",
            "country_code": "US",
            "telephone_number": "719-565-7104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MED LIFT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "BACA",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-565-7104"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med Lift LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.