Active NPI
Plateau Valley Fire Protection District
- Land Ambulance
- Mesa, CO
National Provider Identifier
1104824333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 110
- Legal business name
- PLATEAU VALLEY FIRE PROTECTION DISTRICT
- Practice address
- 49084 Ke 1/2 Rd
Mesa, CO 81643-5077 - Phone
- (970) 268-5283
- Fax
- (970) 268-5055
- NPI assigned
- Jul 12, 2005
- Last updated
- Dec 21, 2023
- 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
- Camile Hisel
- Title
- Administrative Assistant
- Phone
- (970) 268-5283
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 110 | CO | Primary |
Addresses
Primary practice location
49084 Ke 1/2 Rd
Mesa, CO 81643-5077
Mailing address
PO Box 210
Mesa, CO 81643-0210
Phone (970) 268-5283
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06610539 | 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 |
|---|---|---|---|---|
| O20100701000065 | CO | Part B Supplier - Ambulance Service Supplier | 9638200942 | Practice locations: Collbran, CO; Mesa, CO |
National Provider Directory
National Provider Directory- Tax ID family
- Plateau Valley Fire Dist
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Mesa, CO
- NPI 1770182552
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Land Ambulance
- Mesa, CO
- NPI 1770182552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703116800000",
"number": "1104824333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 210",
"city": "MESA",
"state": "CO",
"postal_code": "816430210",
"telephone_number": "970-268-5283",
"fax_number": "970-268-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49084 KE 1/2 RD",
"city": "MESA",
"state": "CO",
"postal_code": "816435077",
"telephone_number": "970-268-5283",
"fax_number": "970-268-5055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLATEAU VALLEY FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-12",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A",
"authorized_official_last_name": "HISEL",
"authorized_official_first_name": "CAMILE",
"authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
"authorized_official_telephone_number": "970-268-5283"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "CO",
"license": "110",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06610539",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesa, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.