Provider Type Icon

MONTEZUMA COUNTY DEPARTMENT OF SOCIAL SERVICES NPI 1548376106


NPI Information

NPI: 1548376106
Provider Name: MONTEZUMA COUNTY DEPARTMENT OF SOCIAL SERVICES
Classification: Ambulance - 341600000X
Entity Type: Organization

CLIA Number: 06D0644467

Address:
109 W MAIN ST
ROOM 203
CORTEZ, CO
ZIP 81321
Phone: (970) 565-3769
Get Directions

MONTEZUMA COUNTY DEPARTMENT OF SOCIAL SERVICES is an ambulance in Cortez, CO. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). MONTEZUMA COUNTY DEPARTMENT OF SOCIAL SERVICES NPI is 1548376106. The provider is registered as an organization entity type.

The provider's business location address is:

109 W MAIN ST
ROOM 203
CORTEZ, CO
ZIP 81321-126
Phone: (970) 565-3769
Fax: (970) 565-8526

The provider's authorized official is Lue Ann Everett .
The authorized official title is Business Office and has the following contact phone number (970) 565-3769.

The CLIA number assigned to this NPI record is 06D0644467 - public health laboratories with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2006 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
1341600000XAmbulanceYes
23416A0800XAmbulanceAir TransportX
33416L0300XAmbulanceLand TransportX
4343900000XNon-emergency Medical Transport (VAN)X
5344600000XTaxiX
6347B00000XBusX
7347C00000XPrivate VehicleX
8347D00000XTrainX

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
121472MEDICAIDCOLORADO
206200422MEDICAIDCOLORADO

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

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.