Organization Active NPI

Northwest Fremont EMS, Inc.

  • Land Ambulance
  • Canon City, CO
National Provider Identifier
1902056864
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
NORTHWEST FREMONT EMS, INC.
Practice address
110 South BND
Canon City, CO 81212-9772
Phone
(719) 275-3450
Fax
(719) 275-4350
NPI assigned
Sep 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Authorized official

Name
Tonya R Hecox, EMT-I
Title
Treasurer
Phone
(719) 275-3450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X CO Primary

Addresses

Primary practice location

110 South BND
Canon City, CO 81212-9772

Mailing address

110 South BND
Canon City, CO 81212-9772
Phone (719) 275-3450

Other identifiers 1

IdentifierTypeStateIssuer
03228550MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1902056864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SOUTH BND",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129772",
            "telephone_number": "719-275-3450",
            "fax_number": "719-275-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SOUTH BND",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129772",
            "telephone_number": "719-275-3450",
            "fax_number": "719-275-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST FREMONT EMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "HECOX",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "719-275-3450",
        "authorized_official_credential": "EMT-I"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03228550",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canon City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.