COSTILLA COUNTY AMBULANCE DISTRICT (NPI# 1043840051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043840051 |
| Entity Type | Organization |
| Organization Name | COSTILLA COUNTY AMBULANCE DISTRICT |
| Practice Address |
233 Main St Building 2 San Luis CO 81152 |
| Mailing Address |
Po Box 35 San Luis CO 81152-0035 |
| Practice Telephone | 7196724271 |
| Practice Fax Number | 2707448642 |
| Mailing Telephone | 7196724271 |
| Mailing Fax Number | 2707448642 |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-01-17 |
| Authorized Official Name | CHRISTOPHER RODRIGUEZ (DIRECTOR) |
| Authorized Official Telephone | 7196724271 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000168483 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699912592 | Costilla County Ambulance District | Ambulance | 233 Main St., San Luis, CO 81152-0035 | 2009-01-14 |
| Street Address |
233 MAIN ST BUILDING 2 |
| City | SAN LUIS |
| State | CO |
| Zip Code | 81152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248732 | San Luis Valley Community Mental Health Center | Clinic/Center | 409 Trinchera St, San Luis, CO 81152 | 2020-09-02 |
| 1669098901 | San Luis Valley Community Mental Health Center | Clinic/Center | 409 Trinchera, San Luis, CO 81152 | 2020-06-23 |
| 1700034832 | Carrie Ann Mondragon | Registered Nurse | 613 Main Street, San Luis, CO 81152 | 2008-09-03 |
| 1215001516 | Centenial School District R1 | Local Education Agency (LEA) | 909 N Main Street, San Luis, CO 81152 | 2006-11-20 |
| 1790775567 | Emelin Martinez | Nurse Practitioner | North Highway 159, San Luis, CO 81152 | 2005-10-24 |
| 1417944729 | Valley-wide Health Systems, Inc | Clinic/Center | 233 Main Street, Suite B, San Luis, CO 81152 | 2005-10-03 |
| 1679832117 | Maryanne Martinez | Registered Nurse | 233 Main Street, Suite C, San Luis, CO 81152 | 2012-05-03 |
| 1427317999 | Vivian B Gallegos | Registered Nurse | 233 Main Street, Suite C, San Luis, CO 81152 | 2012-05-03 |
| 1972725455 | County of Costilla | Case Management | 233 Main Street, Suite C, San Luis, CO 81152 | 2007-05-03 |
| 1699912592 | Costilla County Ambulance District | Ambulance | 233 Main St., San Luis, CO 81152-0035 | 2009-01-14 |
| Find all providers in zip 81152 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811360365 | City of San Luis Arizona | Ambulance | 1165 North Mccain Avenue, San Luis, AZ 85349-0445 | 2015-11-05 |
| 1699912592 | Costilla County Ambulance District | Ambulance | 233 Main St., San Luis, CO 81152-0035 | 2009-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598675 | County of Chaffee | Ambulance | 10364 County Rd 120, Salida, CO 81201-0699 | 2020-11-06 |
| 1770182552 | Plateau Valley Fire Protection District | Ambulance | 49084 Ke 1/2 Road, Mesa, CO 81643-0210 | 2020-10-22 |
| 1871101782 | Boulder Rural Fire Protection District | Ambulance | 6230 Lookout Rd, Boulder, CO 80301-3319 | 2020-07-16 |
| 1659992956 | American Medical Response of Colorado Inc | Ambulance | 230 Depot St, Golden, CO 80401-1073 | 2020-04-28 |
| 1508496308 | City of Steamboat Springs | Ambulance | 2600 Pine Grove Road, Steamboat Springs, CO 80487 | 2020-01-21 |
| 1629608427 | Southwest Teller County Emergency Medical Services | Ambulance | 147 East Bennett Avenue, Cripple Creek, CO 80813 | 2020-01-21 |
| 1881231827 | Asteri Consulting Services LLC | Ambulance | 949 E Fillmore St, Colorado Springs, CO 80907-6315 | 2019-12-10 |
| 1285288712 | Falcon Fire Protection District | Ambulance | 7030 Old Meridian Rd, Falcon, CO 80831-8112 | 2019-08-01 |
| 1235694720 | Transcare, Inc. | Ambulance | 124 Apollo Rd, Montrose, CO 81401-4857 | 2019-02-08 |
| 1114490745 | Limon Area Fire Protection District | Ambulance | 130 C Ave, Limon, CO 80828-5059 | 2019-01-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.