Organization Active NPI

County of Grand

Doing business as Grand County Emergency Medical Services

  • Land Ambulance
  • Granby, CO
National Provider Identifier
1790760361
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
COUNTY OF GRAND
Doing business as
Grand County Emergency Medical Services
Practice address
81 W Agate Avenue
Granby, CO 80446-1457
Phone
(970) 887-2732
Fax
(970) 887-1698
NPI assigned
Dec 7, 2005
Last updated
Oct 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Authorized official

Name
Mr. Edward T Moyer
Title
County Manager
Phone
(970) 725-3101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X CO Primary

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 1

IdentifierTypeStateIssuer
00619837MedicaidCO

Other names 1

  • GRAND COUNTY EMERGENCY MEDICAL SERVICES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070511000076 CO Part B Supplier - Ambulance Service Supplier 0345346102 Practice locations: Granby, CO

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2020469Grand County EMS81 West Agate Ave, Granby, CO 80446Certificate of waiverFeb 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
County of Grand2 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.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

81 W Agate Ave
Granby, CO 80446
Phone (970) 887-0156

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1790760361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1457",
            "city": "GRANBY",
            "state": "CO",
            "postal_code": "804461457",
            "telephone_number": "970-887-2732",
            "fax_number": "970-887-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 W AGATE AVENUE",
            "city": "GRANBY",
            "state": "CO",
            "postal_code": "804461457",
            "telephone_number": "970-887-2732",
            "fax_number": "970-887-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF GRAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-07",
        "last_updated": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "MOYER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "COUNTY MANAGER",
        "authorized_official_telephone_number": "970-725-3101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00619837",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRAND COUNTY EMERGENCY MEDICAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Granby, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.