Organization Active NPI

Mile High Ambulance, LLC

  • Land Ambulance
  • Englewood, CO
National Provider Identifier
1710616263
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
MILE HIGH AMBULANCE, LLC
Practice address
3251 S Zuni St
Englewood, CO 80110-1965
Phone
(303) 564-6636
Fax
(720) 398-3477
NPI assigned
Jun 9, 2022
Last updated
Jun 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Authorized official

Name
Peter Michael Reschenberg
Title
Operations Manager
Phone
(720) 584-0773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

3251 S Zuni St
Englewood, CO 80110-1965

Mailing address

PO Box 22440
Denver, CO 80222-0440
Phone (303) 564-6636

National Provider Directory

National Provider Directory
Tax ID family
Mile High Ambulance LLC2 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.

Locations

3251 S Zuni St
Englewood, CO 80110
Phone (303) 564-6636

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1710616263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22440",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802220440",
            "telephone_number": "303-564-6636",
            "fax_number": "720-398-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 S ZUNI ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801101965",
            "telephone_number": "303-564-6636",
            "fax_number": "720-398-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE HIGH AMBULANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "RESCHENBERG",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "720-584-0773"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.