Active NPI
North Central Fire Protection District
- Ambulance
- Deer Trail, CO
National Provider Identifier
1033258785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- NORTH CENTRAL FIRE PROTECTION DISTRICT
- Practice address
- 40144 Ridge Rd
Deer Trail, CO 80105-7922 - Phone
- (303) 621-8737
- NPI assigned
- Feb 6, 2007
- Last updated
- Feb 9, 2018
- 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
- Diane Gadziala
- Title
- Owner - Wibs
- Phone
- (303) 525-9287
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | NU | Primary |
Addresses
Primary practice location
40144 Ridge Rd
Deer Trail, CO 80105-7922
Mailing address
40144 Ridge Rd
Deer Trail, CO 80105-7922
Phone (303) 621-8737
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83931538 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130712000061 | CO | Part B Supplier - Ambulance Service Supplier | 8628218849 | Practice locations: Deer Trail, CO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2283240 | North Central Fire Protection District | Certificate of waiver | Jun 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
40144 Ridge Rd
Deer Trail, CO 80105
Phone (303) 525-9287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1518134400000",
"number": "1033258785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40144 RIDGE RD",
"city": "DEER TRAIL",
"state": "CO",
"postal_code": "801057922",
"telephone_number": "303-621-8737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40144 RIDGE RD",
"city": "DEER TRAIL",
"state": "CO",
"postal_code": "801057922",
"telephone_number": "303-621-8737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH CENTRAL FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2018-02-09",
"status": "A",
"authorized_official_last_name": "GADZIALA",
"authorized_official_first_name": "DIANE",
"authorized_official_title_or_position": "OWNER - WIBS",
"authorized_official_telephone_number": "303-525-9287"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "83931538",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Deer Trail, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.