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PUEBLO COUNTY NPI 1336365600


NPI Information

NPI: 1336365600
Provider Name: PUEBLO COUNTY

Doing Business As: DEPT OF SOCIAL SERVICES

Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization

CLIA Number: 06D1052617

Address:
212 W 12TH ST
PUEBLO, CO
ZIP 81003
Phone: (719) 583-6179
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PUEBLO COUNTY is a non emergency medical transport van in Pueblo, CO. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. PUEBLO COUNTY NPI is 1336365600. The provider is registered as an organization entity type.
The provider Is Doing Business As Dept Of Social Services.

The provider's business location address is:

212 W 12TH ST
PUEBLO, CO
ZIP 81003-975
Phone: (719) 583-6179
Fax: (719) 583-6174

The provider's authorized official is Sharon J Ellis .
The authorized official title is Chief Finance Officer and has the following contact phone number (719) 583-6179.

The CLIA number assigned to this NPI record is 06D1052617 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1343900000XNon-emergency Medical Transport (VAN)Yes
2251K00000XPublic Health or WelfareCOLORADOX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
106200513MEDICAIDCOLORADO
209000514MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.