Southwest Teller County Emergency Medical Services

LBN: Southwest Teller County Emergency Medical Services
Southwest Teller County Emergency Medical Services is an health care organization with primary practice located at 147 East Bennett Avenue , Cripple Creek CO 80813. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Southwest Teller County Emergency Medical Services can be contacted via phone (719) 494-4836, or through Shoemaker, Candace Marie via phone (719) 689-0240.

Contact Information

Primary practice address
147 East Bennett Avenue Cripple Creek CO 80813
Phone: (719) 494-4836
Fax: (270) 744-8642
Website:
Map and Directions
Authorized official contact:
Name: Shoemaker, Candace Marie
Phone: (719) 689-0240

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X

Profile Details

NPI number 1629608427
LBN Legal business name Southwest Teller County Emergency Medical Services
DBA Doing business as
Authorized official Shoemaker, Candace Marie
Entity Organization
Organization subpart 1 No
Enumeration date Jan 21st, 2020
Last updated Jan 21st, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629608427 NPPES
Colorado MEDICAID 90000158052

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