Organization Active NPI

Western Eagle County Ambulance District

  • Land Ambulance
  • Eagle, CO
National Provider Identifier
1871554436
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
WESTERN EAGLE COUNTY AMBULANCE DISTRICT
Practice address
0360 Eby Creek Road
Eagle, CO 81631
Phone
(970) 328-1130
Fax
(970) 328-1132
NPI assigned
Mar 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Christopher Dick
Title
District Manager
Phone
(970) 328-1130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

0360 Eby Creek Road
Eagle, CO 81631

Mailing address

PO Box 1809
Eagle, CO 81631-1809
Phone (970) 328-1130

Other identifiers 1

IdentifierTypeStateIssuer
06000095MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871554436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1809",
            "city": "EAGLE",
            "state": "CO",
            "postal_code": "816311809",
            "telephone_number": "970-328-1130",
            "fax_number": "970-328-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "0360 EBY CREEK ROAD",
            "city": "EAGLE",
            "state": "CO",
            "postal_code": "81631",
            "telephone_number": "970-328-1130",
            "fax_number": "970-328-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN EAGLE COUNTY AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DICK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "DISTRICT MANAGER",
        "authorized_official_telephone_number": "970-328-1130"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06000095",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.