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COSTILLA COUNTY AMBULANCE DISTRICT
NPI 1043840051
Ambulance - Land Transport in San Luis, CO

Active since January 17, 2020CLIA 06D1026424 · Waiver
233 MAIN ST, BUILDING 2, SAN LUIS, CO 81152(719) 672-4271(270) 744-8642 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 15, 2021, Dec 17, 2020, Jan 17, 2020 (3 updates tracked since 2020).

About Costilla County Ambulance District NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COSTILLA COUNTY AMBULANCE DISTRICT (NPI 1043840051) is a healthcare organization registered as a land transport in San Luis, Colorado and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through June 3, 2028 and lists Sherri Marie Vigil, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1043840051
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameCOSTILLA COUNTY AMBULANCE DISTRICT
Location Address233 MAIN ST, BUILDING 2San Luis, CO 81152
Mailing AddressPo Box 9150Paducah, KY 42002-9150 · (719) 672-4271 · Fax (719) 672-4277
Phone(719) 672-4271
Fax(270) 744-8642
Organization SubpartNo
Authorized OfficialSherri Marie VigilOffice Manager · (719) 580-2031
Enumeration DateJanuary 17, 2020
Last NPPES UpdateMarch 15, 20213 updates tracked since enumeration
NPPES CertifiedMarch 15, 2021
✔ NPI 1043840051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
233 MAIN ST, San Luis, CO 81152
Open in Google Maps ↗

Other Identifiers 1

Medicaid9000168483CO

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D1026424

Costilla County Ambulance District · San Luis, CO
Active · expires Jun 3, 2028
CLIA Number06D1026424
Laboratory TypeAmbulance
Certificate Effective DateJune 4, 2026
Certificate Expiration DateJune 3, 2028
Laboratory DirectorChristopher Rodriguez
Laboratory Phone(719) 672-4271
Laboratory LocationCostilla County Ambulance District233 Main Street Building #2, San Luis, CO 81152
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Costilla County Ambulance District's NPI number?

The NPI number for Costilla County Ambulance District is 1043840051. It was assigned to this organization in the NPPES registry on January 17, 2020.

Where is Costilla County Ambulance District located?

Costilla County Ambulance District is located at 233 Main St Building 2, San Luis, CO 81152. The listed phone number is (719) 672-4271.

What is Costilla County Ambulance District's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Costilla County Ambulance District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D1026424) is associated with this NPI, valid through June 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Costilla County Ambulance District was last updated on March 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.