Provider Demographics
NPI:1306823612
Name:COUNTY OF HINSDALE
Entity Type:Organization
Organization Name:COUNTY OF HINSDALE
Other - Org Name:HINSDALE COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COUNTY ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCROGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-944-2225
Mailing Address - Street 1:PO BOX 277
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:81235-0277
Mailing Address - Country:US
Mailing Address - Phone:970-944-2639
Mailing Address - Fax:970-249-8421
Practice Address - Street 1:700 HENSON ST
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:CO
Practice Address - Zip Code:81235
Practice Address - Country:US
Practice Address - Phone:970-944-2639
Practice Address - Fax:970-249-8421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-28
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
P01139760OtherRAILROAD WORKERS MEDICARE
CO16705734Medicaid
CO16705734Medicaid