Organization Active NPI

Roaring Fork Fire Rescue Authority

Doing business as Roaring Fork Fire Rescue

  • Land Ambulance
  • Carbondale, CO
National Provider Identifier
1194215624
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
ROARING FORK FIRE RESCUE AUTHORITY
Doing business as
Roaring Fork Fire Rescue
Practice address
1089 J W Dr
Carbondale, CO 81623-9587
Phone
(970) 704-0675
NPI assigned
May 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Authorized official

Name
Jessica McFarlane
Title
Administrative Assistant
Phone
(970) 340-7036

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1089 J W Dr
Carbondale, CO 81623-9587

Mailing address

1089 J W Dr
Carbondale, CO 81623-9587
Phone (970) 704-0675

Other names 1

  • Roaring Fork Fire Rescue Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190109002443 CO Part B Supplier - Ambulance Service Supplier 3375889512 Practice locations: Carbondale, CO

National Provider Directory

National Provider Directory

Locations

1089 J W Dr
Carbondale, CO 81623
Phone (970) 704-0675

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1194215624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1089 J W DR",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816239587",
            "telephone_number": "970-704-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1089 J W DR",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816239587",
            "telephone_number": "970-704-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROARING FORK FIRE RESCUE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "MCFARLANE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "970-340-7036"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roaring Fork Fire Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carbondale, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.