Platte Canyon Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

PLATTE CANYON FIRE PROTECTION DISTRICT

Practice address

153 Delwood Dr
Bailey, CO 80421

Phone

(303) 838-5853

NPI assigned

Sep 29, 2008

Last updated

Apr 5, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jared C Black

Title

Chief

Phone

(303) 838-5853

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1013167964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9150",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420029150",
            "telephone_number": "270-744-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 DELWOOD DR",
            "city": "BAILEY",
            "state": "CO",
            "postal_code": "80421",
            "telephone_number": "303-838-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATTE CANYON FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "303-838-5853"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12332771",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Kay Oestmann, RN
• Barbara J Olseen, MSW, LCSW
• Melissa S Ortega
• Paragon Behavioral Health Connections
• Paragon Behavioral Health Connections
• Platte Canyon Rescue Service Inc
• Ryan Plourde, LCSW
• Porter Adventist Hospital
• Dustin Ted Powell, LPC, MA, CACIII
• Private Healthcare Facilities

• Land Ambulance in Bailey, CO
• Providers in Bailey, CO by specialty
• Land Ambulance in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.

Verify at the official NPI Registry.