Healthcare Provider Details

I. General information

NPI: 1760485684
Provider Name (Legal Business Name): COUNTY OF KIT CARSON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1576 LOWELL AVENUE SUITE A
BURLINGTON CO
80807
US

IV. Provider business mailing address

PO BOX 160
BURLINGTON CO
80807
US

V. Phone/Fax

Practice location:
  • Phone: 719-346-7878
  • Fax: 719-346-5118
Mailing address:
  • Phone: 719-346-7878
  • Fax: 719-346-5118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number93
License Number StateCO

VIII. Authorized Official

Name: HEATHER ANN MORRIS
Title or Position: EMS DIRECTOR
Credential: RN, NREMT
Phone: 719-346-7878