Active NPI
Town of Limon
Doing business as Limon Ambulance Service
- Ambulance
- Limon, CO
National Provider Identifier
1932298999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 104 - LINCOLN COUNTY
- 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, 2020
- 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
- Mr. Lonnie L. Knudsen, EMT-PARAMEDIC
- Title
- Supervisor
- Phone
- (719) 740-1149
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06625636 | Medicaid | CO |
Other names 1
- LIMON AMBULANCE SERVICE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091209000519 | CO | Part B Supplier - Ambulance Service Supplier | 1557400215 | Practice locations: Limon, CO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2276209 | Limon Ambulance Service | Certificate of waiver | Feb 4, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Nurse Practitioner
- Limon, CO
- NPI 1063016723
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.