Organization
MOUNTAIN STATES EMERGENCY MEDICAL SERVICES LLC
Active
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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