Capital City Ambulance, LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1014313 Issued in CO

Legal business name

CAPITAL CITY AMBULANCE, LLC

Practice address

19573 E Ida PL
Aurora, CO 80015-5177

Phone

(720) 220-1377

Fax

(303) 671-0237

NPI assigned

May 25, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Boris Smoroda

Title

Manager

Phone

(720) 220-1377

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1780895185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19573 E IDA PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800155177",
            "telephone_number": "720-220-1377",
            "fax_number": "303-671-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19573 E IDA PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800155177",
            "telephone_number": "720-220-1377",
            "fax_number": "303-671-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL CITY AMBULANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "SMORODA",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "720-220-1377",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CO",
            "license": "1014313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31982557",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cara Elise Capitena Young, MD
• Capitol Peak Home Care Services

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; 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.