Organization Active NPI

City of Thornton

Doing business as Thornton Fire Department

  • Land Ambulance
  • Thornton, CO
National Provider Identifier
1184650582
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF THORNTON
Doing business as
Thornton Fire Department
Practice address
9500 Civic Center Dr
Thornton, CO 80229-4326
Phone
(303) 538-7602
Fax
(303) 538-7660
NPI assigned
Jun 25, 2006
Last updated
Oct 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Mr. Russell Richardson
Title
Assistant Chief EMS
Phone
(303) 538-7602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

9500 Civic Center Dr
Thornton, CO 80229-4326

Mailing address

9500 Civic Center Dr
Thornton, CO 80229-4326
Phone (303) 538-7602

Other identifiers 1

IdentifierTypeStateIssuer
18474543MedicaidCO

Other names 1

  • THORNTON FIRE DEPARTMENT Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040913000984 CO Part B Supplier - Ambulance Service Supplier 5890762504 Practice locations: Thornton, CO

National Provider Directory

National Provider Directory
Tax ID family
City of Thornton2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11257 Birch Dr
#3
Thornton, CO 80233
Phone (303) 538-7602

1400 E 128th Ave
#4
Thornton, CO 80241
Phone (303) 538-7602

14051 Colorado Blvd
#5
Thornton, CO 80602
Phone (303) 538-7602

8351 Grant St Ste 275
Thornton, CO 80229
Phone (720) 872-6115

9451 Dorothy Blvd
#1
Thornton, CO 80229
Phone (303) 538-7602

9500 Civic Center Dr
Thornton, CO 80229
Phone (303) 538-7602

9667 Huron St
#2
Thornton, CO 80260
Phone (303) 538-7602

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1184650582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 CIVIC CENTER DR",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294326",
            "telephone_number": "303-538-7602",
            "fax_number": "303-538-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 CIVIC CENTER DR",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294326",
            "telephone_number": "303-538-7602",
            "fax_number": "303-538-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF THORNTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "ASSISTANT CHIEF EMS",
        "authorized_official_telephone_number": "303-538-7602",
        "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": "18474543",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THORNTON FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THORNTON FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.