Provider Demographics
NPI:1760485684
Name:COUNTY OF KIT CARSON
Entity type:Organization
Organization Name:COUNTY OF KIT CARSON
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, NREMT
Authorized Official - Phone:719-346-7878
Mailing Address - Street 1:PO BOX 160
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:CO
Mailing Address - Zip Code:80807
Mailing Address - Country:US
Mailing Address - Phone:719-346-7878
Mailing Address - Fax:719-346-5118
Practice Address - Street 1:1576 LOWELL AVENUE
Practice Address - Street 2:SUITE A
Practice Address - City:BURLINGTON
Practice Address - State:CO
Practice Address - Zip Code:80807
Practice Address - Country:US
Practice Address - Phone:719-346-7878
Practice Address - Fax:719-346-5118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-24
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO933416L0300X
341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100243030AMedicaid
CO590010472OtherPALMETTO GBA
CO590010472OtherRAIL ROAD MEDICARE
CO006624639Medicaid
CO06624639Medicaid
COC62463Medicare PIN