1548365018 NPI number — AMERICAN MEDICAL RESPONSE OF COLORADO INC

Table of content: (NPI 1548365018)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548365018 NPI number — AMERICAN MEDICAL RESPONSE OF COLORADO INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMERICAN MEDICAL RESPONSE OF COLORADO INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548365018
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/12/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 847199
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75284-7199
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-913-9106
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3245 E US HIGHWAY 50
Provider Second Line Business Practice Location Address:
UNIT A
Provider Business Practice Location Address City Name:
CANON CITY
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
81212-9342
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
719-275-1395
Provider Business Practice Location Address Fax Number:
719-275-1695
Provider Enumeration Date:
09/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
DORN
Authorized Official First Name:
TIMOTHY
Authorized Official Middle Name:
JOSEPH
Authorized Official Title or Position:
CHIEF ADMINISTRATIVE OFFICER
Authorized Official Telephone Number:
833-703-2294

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 341600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com