Organization
MOUNTAIN STATES EMERGENCY MEDICAL SERVICES LLC
Active
Other names
Mountain States EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL POWELL (PRESIDENT)
(469) 565-2101
Entity
Organization
Contact information
Practice address
1230 S PARKER ROAD, #100, DENVER, CO 80231
(469) 565-2101
Mailing address
1316 W EULESS BLVD, #600, EULESS, TX 76040
(303) 736-8950
(720) 307-3008
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
CO
3416L0300X
Land Ambulance
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
400069
MEDICARE PTAN
CO
05
—
42434301
—
CO
01
—
BFN- 2015-BFN-000105
BUSINESS LICENSE - DENVER, CO
CO
Enumeration date
11/21/2014
Last updated
08/02/2024
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