Trinidad Ambulance District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TRINIDAD AMBULANCE DISTRICT

Practice address

939 Robinson Ave
Trinidad, CO 81082-2832

Phone

(719) 846-6886

NPI assigned

Dec 2, 2021

Organization subpart

No

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

Authorized official

Name

Daniel Moynihan

Title

EMS Chief

Phone

(719) 846-6886

Specialties & licenses 2

Addresses

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.

• Trinidad Ambulance District

  • Land Ambulance
  • Trinidad, CO
  • NPI 1720202856

  O20100210000252

  Same enrollment

Tax ID family

Trinidad Ambulance District2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Trinidad Ambulance District

  • Land Ambulance
  • Trinidad, CO
  • NPI 1720202856
  NPD tax ID

Locations

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1649938093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810820132",
            "telephone_number": "719-846-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 ROBINSON AVE",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822832",
            "telephone_number": "719-846-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINIDAD AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "MOYNIHAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "719-846-6886"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark B Tieszen, D.C.
• TKM II Inc
• Hector Rene Torres, C.M.T.
• Matthew James Torres, CAC III 5317
• Janna Tranter, L.P.C.
• Trinidad Ambulance District
• Trinidad Area Health Association
• Trinidad Area Health Association
• Trinidad Area Health Association
• Trinidad Area Health Association

• Land Ambulance in Trinidad, CO
• Providers in Trinidad, CO by specialty
• Land Ambulance in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.