Active NPI
Mesa County Fire Authority
- Land Ambulance
- Whitewater, CO
National Provider Identifier
1003560210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- MESA COUNTY FIRE AUTHORITY
- Practice address
- 34980 Pronghorn Dr
Whitewater, CO 81527-8502 - Phone
- (970) 242-2975
- NPI assigned
- Feb 7, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shawn A Cox
- Title
- Fire Chief
- Phone
- (970) 242-2975
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
34980 Pronghorn Dr
Whitewater, CO 81527-8502
Mailing address
PO Box 1192
Montrose, CO 81402-1192
Phone (970) 242-2975
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220616002183 | CO | Part B Supplier - Ambulance Service Supplier | 9931588266 | Practice locations: Whitewater, CO |
National Provider Directory
National Provider DirectoryLocations
34980 Pronghorn Dr
Whitewater, CO 81527
Phone (970) 242-2975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674172800000",
"number": "1003560210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1192",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814021192",
"telephone_number": "970-242-2975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34980 PRONGHORN DR",
"city": "WHITEWATER",
"state": "CO",
"postal_code": "815278502",
"telephone_number": "970-242-2975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MESA COUNTY FIRE AUTHORITY",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-07",
"last_updated": "2023-01-20",
"certification_date": "2023-01-20",
"status": "A",
"authorized_official_last_name": "COX",
"authorized_official_first_name": "SHAWN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "970-242-2975"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitewater, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.