Active NPI
Arkansas Valley Ambulance District
- Land Ambulance
- Howard, CO
National Provider Identifier
1790243145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- ARKANSAS VALLEY AMBULANCE DISTRICT
- Practice address
- 8274 US Highway 50
Howard, CO 81233 - Phone
- (719) 688-3776
- Fax
- (970) 497-8410
- NPI assigned
- Mar 5, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Lewis
- Title
- Board Chair
- Phone
- (719) 688-3776
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
8274 US Highway 50
Howard, CO 81233
Mailing address
PO Box 97
Howard, CO 81233-0097
Phone (719) 688-3776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190509000696 | CO | Part B Supplier - Ambulance Service Supplier | 5890037071 | Practice locations: Howard, CO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551744000000",
"number": "1790243145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 97",
"city": "HOWARD",
"state": "CO",
"postal_code": "812330097",
"telephone_number": "719-688-3776",
"fax_number": "970-497-8410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8274 US HIGHWAY 50",
"city": "HOWARD",
"state": "CO",
"postal_code": "81233",
"telephone_number": "719-688-3776",
"fax_number": "970-497-8410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARKANSAS VALLEY AMBULANCE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-05",
"last_updated": "2019-03-05",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "BOARD CHAIR",
"authorized_official_telephone_number": "719-688-3776"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Howard, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.