Provider Demographics
NPI:1235805102
Name:AMERICAN MEDICAL RESPONSE OF COLORADO INC
Entity Type:Organization
Organization Name:AMERICAN MEDICAL RESPONSE OF COLORADO INC
Other - Org Name:AMERICAN MEDICAL RESPONSE; AMR; MEDTRANS AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SVP OF REVENUE CYCLE
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-703-2294
Mailing Address - Street 1:PO BOX 847199
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-7199
Mailing Address - Country:US
Mailing Address - Phone:800-913-9106
Mailing Address - Fax:
Practice Address - Street 1:3245 E HWY 50 UNIT A
Practice Address - Street 2:
Practice Address - City:CANON CITY
Practice Address - State:CO
Practice Address - Zip Code:81212-9342
Practice Address - Country:US
Practice Address - Phone:719-275-1395
Practice Address - Fax:719-275-1695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-19
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000154075Medicaid