Mineral County

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

MINERAL COUNTY

Doing business as

Mineral County Ambulance

Practice address

800 Rio Grande Ave
Creede, CO 81130-5000

Phone

(719) 223-9033

Fax

(719) 223-9033

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Erica Roden

Title

Billing Director

Phone

(817) 776-1017

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mineral County Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Mineral County2 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.

• Mineral County Dental Clinic

  • Dental Clinic/Center
  • Creede, CO
  • NPI 1881003002
  NPD tax ID

Locations

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.

• Joni Marie Adelman, F.N.P.

  • Family Nurse Practitioner
  • Creede, CO
  • NPI 1982099750
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1730294158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381",
            "city": "CREEDE",
            "state": "CO",
            "postal_code": "811300224",
            "telephone_number": "719-223-9033",
            "fax_number": "719-223-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 RIO GRANDE AVE",
            "city": "CREEDE",
            "state": "CO",
            "postal_code": "811305000",
            "telephone_number": "719-223-9033",
            "fax_number": "719-223-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINERAL COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "RODEN",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "817-776-1017"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590015075",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36580872",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mineral County Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Creede Chiropractic and Kinesiology Clinic, Inc
• Creede Consolidated School District #1
• Creede Dental Works PLLC
• Jennifer R Harbert, M.D.
• Joanna Renee Johnson, MT
• Mineral County Dental Clinic
• Mineral County Public Health
• New You Chiropractic Wellness Center, LLC
• Damian Seth Richardson, D.C.
• Michelle R Richardson, M.S., D.C.

• Ambulance in Creede, CO
• Providers in Creede, CO by specialty
• Ambulance in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.