Active NPI
West Routt Fire Protection District
- Ambulance
- Hayden, CO
National Provider Identifier
1013024090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- WEST ROUTT FIRE PROTECTION DISTRICT
- Practice address
- 500 S Poplar
Hayden, CO 81639 - Phone
- (970) 276-3796
- NPI assigned
- Aug 24, 2006
- Last updated
- Aug 29, 2013
- 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
- Mrs. Patty Bruchez
- Title
- Coordinator
- Phone
- (970) 326-5154
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | NU | Primary |
Addresses
Primary practice location
500 S Poplar
Hayden, CO 81639
Mailing address
PO Box 1324
Hayden, CO 81639-1324
Phone (970) 276-3796
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54002257 | Medicaid | CO | |
| P00304025 | Other | CO | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041011000271 | CO | Part B Supplier - Ambulance Service Supplier | 2365401734 | Practice locations: Hayden, CO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1377734400000",
"number": "1013024090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1324",
"city": "HAYDEN",
"state": "CO",
"postal_code": "816391324",
"telephone_number": "970-276-3796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S POPLAR",
"city": "HAYDEN",
"state": "CO",
"postal_code": "81639",
"telephone_number": "970-276-3796"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST ROUTT FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-24",
"last_updated": "2013-08-29",
"status": "A",
"authorized_official_last_name": "BRUCHEZ",
"authorized_official_first_name": "PATTY",
"authorized_official_title_or_position": "COORDINATOR",
"authorized_official_telephone_number": "970-326-5154",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54002257",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00304025",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hayden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.