Action Care Ambulance, Inc
Organization Active NPI Ambulance · Centennial, CO
NPI 1952327751 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1952327751
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- Legal business name
- ACTION CARE AMBULANCE, INC
- Practice address
- 14854 E Hinsdale Ave
Suite H
Centennial, CO 80112-4058 - Phone
- (720) 870-4705
- Fax
- (720) 870-4710
- NPI assigned
- Jul 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Cynthia Crystal Vatter
- Title
- Executive Director
- Phone
- (720) 870-4705
Corporate family (same tax ID) 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091124000505 | CO | Part B Supplier - Ambulance Service Supplier | 2860531266 | Practice locations: Centennial, CO; Sheridan, CO |
National Provider Directory
- Tax ID family
- Action Care Ambulance Inc
Locations
14854 E Hinsdale Ave
Ste H
Centennial, CO 80112
Phone (720) 870-4705
2721 W Oxford Ave
Unit 5
Sheridan, CO 80110
Phone (720) 870-4700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | CO | Yes |
Addresses
Primary practice location
14854 E Hinsdale Ave
Suite H
Centennial, CO 80112-4058
Mailing address
14854 E Hinsdale Ave
Suite H
Centennial, CO 80112-4058
Phone (720) 870-4705
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 63909766 | Medicaid | CO |
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.