Organization Active NPI

Town of Limon

Doing business as Limon Ambulance Service

  • Ambulance
  • Limon, CO
National Provider Identifier
1932298999
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
104 - LINCOLN COUNTY Issued in CO
Legal business name
TOWN OF LIMON
Doing business as
Limon Ambulance Service
Practice address
110 A Ave
Limon, CO 80828
Phone
(719) 775-2256
Fax
(719) 775-9291
NPI assigned
Oct 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Lonnie L. Knudsen, EMT-PARAMEDIC
Title
Supervisor
Phone
(719) 740-1149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 104 - LINCOLN COUNTY CO Primary

Addresses

Primary practice location

110 A Ave
Limon, CO 80828

Mailing address

110 A Ave
PO Box 374
Limon, CO 80828
Phone (719) 775-2256

Other identifiers 1

IdentifierTypeStateIssuer
06625636MedicaidCO

Other names 1

  • LIMON 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
O20091209000519 CO Part B Supplier - Ambulance Service Supplier 1557400215 Practice locations: Limon, 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
06D2276209Limon Ambulance Service110 A Avenue, Limon, CO 80828Certificate of waiverFeb 4, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932298999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 A AVE",
            "address_2": "PO BOX 374",
            "city": "LIMON",
            "state": "CO",
            "postal_code": "80828",
            "telephone_number": "719-775-2256",
            "fax_number": "719-775-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 A AVE",
            "city": "LIMON",
            "state": "CO",
            "postal_code": "80828",
            "telephone_number": "719-775-2256",
            "fax_number": "719-775-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF LIMON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KNUDSEN",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "719-740-1149",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CO",
            "license": "104 - LINCOLN COUNTY",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06625636",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIMON AMBULANCE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Limon, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.