County of Huerfano

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

COUNTY OF HUERFANO

Doing business as

Huerfano Ambulance Service

Practice address

326 Main St
Walsenburg, CO 81089-1843

Phone

(719) 738-3000

NPI assigned

Jul 7, 2005

Last updated

Feb 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sherry Ann Mann, PARAMEDIC

Title

Director

Phone

(719) 738-1919

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Huerfano Ambulance Service Doing business as

Locations

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1669479333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 MAIN ST",
            "city": "WALSENBURG",
            "state": "CO",
            "postal_code": "810891843",
            "telephone_number": "719-738-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 MAIN ST",
            "city": "WALSENBURG",
            "state": "CO",
            "postal_code": "810891843",
            "telephone_number": "719-738-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF HUERFANO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "719-738-1919",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06001028",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MINE WORKERS",
            "identifier": "1228420",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG PROGRAM",
            "identifier": "893829",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huerfano Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.