Organization Active NPI

City of Glenwood Springs

  • Land Ambulance
  • Glenwood Springs, CO
National Provider Identifier
1992884811
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF GLENWOOD SPRINGS
Practice address
101 West 8TH Street
Glenwood Springs, CO 81601
Phone
(970) 384-6480
Fax
(970) 945-8506
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Michelle Simono
Title
Ambulance Billing
Phone
(970) 384-6480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X CO Primary

Addresses

Primary practice location

101 West 8TH Street
Glenwood Springs, CO 81601

Mailing address

101 West 8TH Street
Glenwood Springs, CO 81601
Phone (970) 384-6480

Other identifiers 1

IdentifierTypeStateIssuer
06619639MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070822001209 CO Part B Supplier - Ambulance Service Supplier 0345332367 Practice locations: Glenwood Springs, CO

National Provider Directory

National Provider Directory

Locations

101 W 8th St
Glenwood Springs, CO 81601
Phone (970) 384-6436

90 Mel Rey Rd
Glenwood Springs, CO 81601
Phone (970) 384-6480

806 Cooper Ave
Glenwood Springs, CO 81601
Phone (970) 384-6436

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1992884811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WEST 8TH STREET",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "81601",
            "telephone_number": "970-384-6480",
            "fax_number": "970-945-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WEST 8TH STREET",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "81601",
            "telephone_number": "970-384-6480",
            "fax_number": "970-945-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF GLENWOOD SPRINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "SIMONO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "AMBULANCE BILLING",
        "authorized_official_telephone_number": "970-384-6480"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06619639",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.