Organization Active NPI

Upper Pine River Fire Protection District

  • Land Ambulance
  • Bayfield, CO
National Provider Identifier
1154340230
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on May 30, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
83384545MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060405000142 CO Part B Supplier - Ambulance Service Supplier 4880602614 Practice locations: Bayfield, CO

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.