Healthcare Provider Details
I. General information
NPI: 1770213423
Provider Name (Legal Business Name): AMERICAN MEDICAL RESPONSE OF COLORADO INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/15/2022
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1801 N 16TH ST
GREELEY CO
80631-5154
US
IV. Provider business mailing address
PO BOX 847199
DALLAS TX
75284-7199
US
V. Phone/Fax
- Phone: 970-702-3438
- Fax:
- Phone: 800-913-9106
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 341600000X |
| Taxonomy | Ambulance |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TIMOTHY
JOSEPH
DORN
Title or Position: CHIEF ADMINISTRATIVE OFFICER
Credential:
Phone: 833-703-2294