Active NPI
City of Glenwood Springs
- Land Ambulance
- Glenwood Springs, CO
National Provider Identifier
1992884811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06619639 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070822001209 | CO | Part B Supplier - Ambulance Service Supplier | 0345332367 | Practice locations: Glenwood Springs, CO |
National Provider Directory
National Provider DirectoryLocations
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.