Organization Active NPI

Washington County Colorado

Doing business as Washington County Ambulance Service

  • Land Ambulance
  • Akron, CO
National Provider Identifier
1881694313
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
WASHINGTON COUNTY COLORADO
Doing business as
Washington County Ambulance Service
Practice address
133 Birch Ave
Akron, CO 80720-1513
Phone
(970) 345-2672
Fax
(970) 345-2702
NPI assigned
Jul 27, 2005
Last updated
Jul 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Authorized official

Name
Tony N Wells, EMP
Title
Director
Phone
(970) 345-2672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X CO Primary

Addresses

Primary practice location

133 Birch Ave
Akron, CO 80720-1513

Mailing address

133 Birch Ave
Akron, CO 80720-1513
Phone (970) 345-2672

Other identifiers 1

IdentifierTypeStateIssuer
06646434MedicaidCO

Other names 1

  • Washington County Ambulance Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091209000659 CO Part B Supplier - Ambulance Service Supplier 5395742589 Practice locations: Akron, 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
06D0956765Washington County Ambulance Service133 Birch Avenue, Akron, CO 80720Certificate of waiverFeb 3, 2027

National Provider Directory

National Provider Directory

Member organizations 1

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

Locations

125 E 2nd St
Akron, CO 80720
Phone (970) 345-2672

133 Birch Ave
Akron, CO 80720
Phone (303) 345-2672

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Washington County Nursing HomeAkron, CO, CCN 065309 Skilled nursing facility 5% Or Greater Direct Ownership Interest
Operational/Managerial Control
Jan 1, 2010
Jan 1, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1881694313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 BIRCH AVE",
            "city": "AKRON",
            "state": "CO",
            "postal_code": "807201513",
            "telephone_number": "970-345-2672",
            "fax_number": "970-345-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 BIRCH AVE",
            "city": "AKRON",
            "state": "CO",
            "postal_code": "807201513",
            "telephone_number": "970-345-2672",
            "fax_number": "970-345-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON COUNTY COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-27",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "970-345-2672",
        "authorized_official_credential": "EMP"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06646434",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington County Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Akron, CO

Sources for this page

Verify at the official NPI Registry.