Snowmass-Wildcat Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SNOWMASS-WILDCAT FIRE PROTECTION DISTRICT

Practice address

5275 Owl Creek Road
Snowmass Village, CO 81615-6436

Phone

(970) 923-2212

Fax

(970) 923-2224

NPI assigned

Nov 8, 2006

Last updated

Nov 30, 2016By 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

Kevin William Issel

Title

Deputy Chief

Phone

(970) 319-3129

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1124198064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6436",
            "address_2": "5275 OWL CREEK ROAD",
            "city": "SNOWMASS VILLAGE",
            "state": "CO",
            "postal_code": "816156436",
            "telephone_number": "970-923-2212",
            "fax_number": "970-923-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 OWL CREEK ROAD",
            "city": "SNOWMASS VILLAGE",
            "state": "CO",
            "postal_code": "816156436",
            "telephone_number": "970-923-2212",
            "fax_number": "970-923-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNOWMASS-WILDCAT FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "ISSEL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "DEPUTY CHIEF",
        "authorized_official_telephone_number": "970-319-3129"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CO",
            "license": "4904",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1124198064",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walker Jean Mills, OTR/L
• Jonathan D Perez
• Karina Redko, D.D.S.
• Alexandra Grace Smyth, FHP-C
• Snowmass Chiropractic Center

• Land Ambulance in Snowmass Village, CO
• Providers in Snowmass Village, CO by specialty
• Land Ambulance in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.