La Veta Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

LA VETA FIRE PROTECTION DISTRICT

Practice address

111 S. Main St.
La Veta, CO 81055-0044

Phone

(719) 742-3656

Fax

(719) 742-3656

NPI assigned

Jan 16, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Mark D Brunner

Title

Chairman of the Board

Phone

(719) 742-6777

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1144406570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 44",
            "city": "LA VETA",
            "state": "CO",
            "postal_code": "810550044",
            "telephone_number": "719-742-3656",
            "fax_number": "719-742-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S. MAIN ST.",
            "city": "LA VETA",
            "state": "CO",
            "postal_code": "810550044",
            "telephone_number": "719-742-3656",
            "fax_number": "719-742-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA VETA FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "BRUNNER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "719-742-6777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50881736",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Cooper, PH.D.
• Diana Fries, MED, LPCC
• Jytte Evelyn Hale-Helps, P.T.
• Huerfano County Hospital District
• Lynne Alice Johnson, MD
• La Veta Village, Inc.
• Mountain Time Physical Therapy PC
• Loanne M Shackelford, MSW LCSW
• Sara Slifko, PTA

• Land Ambulance in La Veta, CO
• Providers in La Veta, CO by specialty
• Land Ambulance in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.