NPIMap

Organization Active NPI

County of Chaffee

  • Land Ambulance
  • Salida, CO
National Provider Identifier
1841270071
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
COUNTY OF CHAFFEE
Practice address
10364 County Road 120
Salida, CO 81201-9404
Phone
(719) 539-1914
Fax
(970) 539-8688
NPI assigned
Jan 23, 2006
Last updated
Mar 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary
Transportation Broker 347E00000X NU

Addresses

Primary practice location

10364 County Road 120
Salida, CO 81201-9404

Mailing address

2233 E. Main St.
Business Options Medical Billing
Montrose, CO 81401-3831
Phone (970) 765-0818

Other identifiers 3

IdentifierTypeStateIssuer
590042777OtherCORAILROAD MEDICARE
06609135MedicaidCO
089233300OtherCODEPT OF LABOR / FEDERAL WORKERS COMPENSATION

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110428000120 CO Part B Supplier - Ambulance Service Supplier 1456536804 Practice locations: Buena Vista, CO; 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).

National Provider Directory

National Provider Directory
Tax ID family
County of Chaffee3 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.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520380800000",
    "number": "1841270071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 E. MAIN ST.",
            "address_2": "BUSINESS OPTIONS MEDICAL BILLING",
            "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 ROAD 120",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812019404",
            "telephone_number": "719-539-1914",
            "fax_number": "970-539-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CHAFFEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2018-03-07",
        "status": "A",
        "authorized_official_last_name": "HADLEY",
        "authorized_official_first_name": "JOSH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EMS MANAGER",
        "authorized_official_telephone_number": "719-539-1914"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590042777",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06609135",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR / FEDERAL WORKERS COMPENSATION",
            "identifier": "089233300",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 7, 2018; 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.