County of Grand
Organization Active NPI Land Ambulance · Granby, CO
NPI 1790760361 · NPPES record last updated Oct 13, 2023
Key facts
- NPI
- 1790760361
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- COUNTY OF GRAND
- Practice address
- 81 W Agate Avenue
Granby, CO 80446-1457 - Phone
- (970) 887-2732
- Fax
- (970) 887-1698
- NPI assigned
- Dec 7, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Edward T Moyer
- Title
- County Manager
- Phone
- (970) 725-3101
Corporate family (same tax ID) 1
Member organizations 1
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2020469 | Grand County EMS | Certificate of waiver | Feb 17, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070511000076 | CO | Part B Supplier - Ambulance Service Supplier | 0345346102 | Practice locations: Granby, CO |
National Provider Directory
- Tax ID family
- County of Grand
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | CO | Yes |
Addresses
Primary practice location
81 W Agate Avenue
Granby, CO 80446-1457
Mailing address
P.O. Box 1457
Granby, CO 80446-1457
Phone (970) 887-2732
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00619837 | Medicaid | CO |
Other names
- GRAND COUNTY EMERGENCY MEDICAL SERVICES
Other providers in Granby, CO
- Karen K. Charland
- Colorado West Regional Mental Health, Inc.
- Colorado West Regional Mental Health, Inc.
- Colorado West Regional Mental Health, Inc.
- Colorado West Regional Mental Health, Inc.
- Ellen Grace Cowman
- Jordyn Crane
- Sandee Cysewski
- Kaitey Davidson
- Dermatology Center of Steamboat Springs, LLC a Professional LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.