Southwest Teller County Emergency Medical Services

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SOUTHWEST TELLER COUNTY EMERGENCY MEDICAL SERVICES

Practice address

700 North a Street
Cripple Creek, CO 80813

Phone

(719) 895-1206

Fax

(270) 744-8642

NPI assigned

Jan 21, 2020

Organization subpart

No

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

Authorized official

Name

Eric Murray

Title

Authorized Official

Phone

(719) 895-1206

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Southwest Teller County Emergency Medical Services

  • Land Ambulance
  • Cripple Creek, CO
  • NPI 1497800668

  O20100211000761

  Same enrollment

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1629608427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 826",
            "city": "CRIPPLE CREEK",
            "state": "CO",
            "postal_code": "808130826",
            "telephone_number": "719-895-1206",
            "fax_number": "270-744-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NORTH A STREET",
            "city": "CRIPPLE CREEK",
            "state": "CO",
            "postal_code": "80813",
            "telephone_number": "719-895-1206",
            "fax_number": "270-744-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST TELLER COUNTY EMERGENCY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "719-895-1206"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90000158052",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Root Groove, PLLC (Gold Rush Dental)
• Jill Elaine Saylor, FNP-BC, NP-C
• Southern Teller County Health Services District (Cripple Creek Home Health Care)
• Southern Teller County Health Services District (Cripple Creek Care Center)
• Southwest Teller County Emergency Medical Services
• Lance R Stewart
• Amy Terry, RN
• Carla Young, LCMT

• Land Ambulance in Cripple Creek, CO
• Providers in Cripple Creek, CO by specialty
• Land Ambulance in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.