Active NPI
Northwest Fremont EMS, Inc.
- Land Ambulance
- Canon City, CO
National Provider Identifier
1902056864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03228550 | Medicaid | CO |
National Provider Directory
National Provider DirectoryNPI 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.