Active NPI
Upper Pine River Fire Protection District
- Land Ambulance
- Bayfield, CO
National Provider Identifier
1154340230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- UPPER PINE RIVER FIRE PROTECTION DISTRICT
- Practice address
- 515 Sower Dr
Bayfield, CO 81122 - Phone
- (970) 884-9508
- Fax
- (970) 884-2444
- NPI assigned
- Jul 19, 2006
- 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
- Bruce Evans, NREMT-P
- Title
- Fire Chief
- Phone
- (970) 884-9508
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
515 Sower Dr
Bayfield, CO 81122
Mailing address
515 Sower Dr
Bayfield, CO 81122-8826
Phone (970) 884-9505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83384545 | 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 |
|---|---|---|---|---|
| O20060405000142 | CO | Part B Supplier - Ambulance Service Supplier | 4880602614 | Practice locations: Bayfield, CO |
National Provider Directory
National Provider DirectoryLocations
515 Sower Dr
Bayfield, CO 81122
Phone (970) 884-9508
515 Sower Dr
Uppr Pne
Bayfield, CO 81122
Phone 9708849508202
75 S Clover Dr
Bayfield, CO 81122
Phone (970) 884-9508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1527638400000",
"number": "1154340230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 SOWER DR",
"city": "BAYFIELD",
"state": "CO",
"postal_code": "811228826",
"telephone_number": "970-884-9505",
"fax_number": "970-884-2444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 SOWER DR",
"city": "BAYFIELD",
"state": "CO",
"postal_code": "81122",
"telephone_number": "970-884-9508",
"fax_number": "970-884-2444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPPER PINE RIVER FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-19",
"last_updated": "2018-05-30",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "BRUCE",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "970-884-9508",
"authorized_official_credential": "NREMT-P"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "83384545",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bayfield, CO
- Timberline Behavioral Health, LLC (Timberline Behavioral Health)
- Timberline Behavioral Health, LLC (Timberline Behavioral Health)
- Total Healthcare (Prbypc Bayfield)
- Trek Medical Services, LLC
- Ashley Elaine Turner, CCA
- David C Uthoff, D.M.D
- Elizabeth Andrews Volz, PA-C
- Allen Walker, LMT
- Samantha Aaylah Wellspring, ND
- Wits End Ranch Retreat
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.