Provider Demographics
NPI:1972553733
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 MANAGEMENT
Authorized Official - Prefix:
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 1:6100 W 54TH AVE
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-4023
Practice Address - Country:US
Practice Address - Phone:720-709-4194
Practice Address - Fax:303-293-0235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO16225031Medicaid
CO9000152774Medicaid
COCO0000D100241OtherSECTION 1011
COC62213Medicare PIN
CO590009926Medicare PIN