SOUTHWEST TELLER COUNTY EMERGENCY MEDICAL SERVICES NPI 1497800668

NPI Information

NPI: 1497800668
Provider Name: SOUTHWEST TELLER COUNTY EMERGENCY MEDICAL SERVICES
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 06D2281845

Address:
147 E. BENNETT AVENUE
CRIPPLE CREEK, CO
ZIP 80813
Phone: (719) 689-0240
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SOUTHWEST TELLER COUNTY EMERGENCY MEDICAL SERVICES is a land transport ambulance in Cripple Creek, CO. SOUTHWEST TELLER COUNTY EMERGENCY MEDICAL SERVICES NPI is 1497800668. The provider is registered as an organization entity type.

The provider's business location address is:

147 E. BENNETT AVENUE
CRIPPLE CREEK, CO
ZIP 80813
Phone: (719) 689-0240
Fax: (719) 689-0292

The provider's authorized official is Eric Murray .
The authorized official title is Ems Director and has the following contact phone number (719) 689-0240.

The CLIA number assigned to this NPI record is 06D2281845 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 3/17/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	76926770	MEDICAID	COLORADO

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: 4/28/2024

NPI Synchronization or Removal

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