Holly Fire & Ambulance District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

20072 Issued in CO

Legal business name

HOLLY FIRE & AMBULANCE DISTRICT

Practice address

115 N 1St Ave
Holly, CO 81047

Phone

(719) 537-9034

NPI assigned

Feb 15, 2008

Last updated

Feb 15, 2008By 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

Jana Marie Rushton

Title

Secretary/Treasurer

Phone

(719) 537-9034

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1114195872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 213",
            "city": "HOLLY",
            "state": "CO",
            "postal_code": "810470213",
            "telephone_number": "719-537-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N 1ST AVE",
            "city": "HOLLY",
            "state": "CO",
            "postal_code": "81047",
            "telephone_number": "719-537-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY FIRE & AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "RUSHTON",
        "authorized_official_first_name": "JANA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "719-537-9034"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CO",
            "license": "20072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• High Plains Community Health Center Incorporated (Holly High Plains Dispensary)
• High Plains Community Health Center Incorporated (High Plains Holly Clinic)
• Jacob Kyle Holdren, DC
• Holly Care Center LLC (Holly Care Center)
• Holly Care Center LLC (Holly Care Center)
• Holly Nursing Care Center, Inc (Holly Nursing Care Center)
• Holly Nursing Care Center, Inc.
• Holly School District Re-3
• Elizabeth Lydon
• Ashley Nicole Mayjoy, FNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.