Organization Active NPI

Elizabeth Fire Protection District

  • Land Ambulance
  • Elizabeth, CO
National Provider Identifier
1144207127
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
ELIZABETH FIRE PROTECTION DISTRICT
Practice address
155 W Kiowa Ave
Elizabeth, CO 80107-7934
Phone
(303) 646-3800
Fax
(303) 688-6994
NPI assigned
Dec 29, 2005
Last updated
Jun 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Mrs. Susan Gay Kriz
Title
Administrative Assistant
Phone
(303) 646-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

155 W Kiowa Ave
Elizabeth, CO 80107-7934

Mailing address

PO Box 441
Elizabeth, CO 80107-0441
Phone (303) 646-3800

Other identifiers 1

IdentifierTypeStateIssuer
0600152MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100128000913 CO Part B Supplier - Ambulance Service Supplier 3072655034 Practice locations: Elizabeth, CO; Parker, CO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1144207127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 441",
            "city": "ELIZABETH",
            "state": "CO",
            "postal_code": "801070441",
            "telephone_number": "303-646-3800",
            "fax_number": "303-688-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 W KIOWA AVE",
            "city": "ELIZABETH",
            "state": "CO",
            "postal_code": "801077934",
            "telephone_number": "303-646-3800",
            "fax_number": "303-688-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "KRIZ",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "GAY",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "303-646-3800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0600152",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.