Organization Active NPI

County of Chaffee

Doing business as Chaffee County Emergency Medical Services

  • Land Ambulance
  • Salida, CO
National Provider Identifier
1811598675
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
COUNTY OF CHAFFEE
Doing business as
Chaffee County Emergency Medical Services
Practice address
10364 County Rd 120
Salida, CO 81201-0699
Phone
(719) 539-1914
Fax
(719) 539-8688
NPI assigned
Nov 6, 2020
Last updated
Nov 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Authorized official

Name
Josh Hadley
Title
EMS Manager
Phone
(719) 539-1914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

10364 County Rd 120
Salida, CO 81201-0699

Mailing address

2233 E Main St
Montrose, CO 81401-3831
Phone (970) 765-0818

Other names 1

  • Chaffee 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
O20120611000605 CO Part B Supplier - Mass Immunization (Roster Biller Only) 1456536804 1 other NPI on this enrollment
Practice locations: Salida, CO

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Chaffee County Nursing3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

448 E 1st St
Ste 137
Salida, CO 81201
Phone (719) 530-2563

NPI Registry JSON

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1811598675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 E MAIN ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013831",
            "telephone_number": "970-765-0818",
            "fax_number": "970-497-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10364 COUNTY RD 120",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812010699",
            "telephone_number": "719-539-1914",
            "fax_number": "719-539-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CHAFFEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "HADLEY",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "EMS MANAGER",
        "authorized_official_telephone_number": "719-539-1914"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chaffee County Emergency Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salida, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.

Verify at the official NPI Registry.