Organization Active NPI

De Beque Fire Protection District

  • Land Ambulance
  • De Beque, CO
National Provider Identifier
1245401355
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
DE BEQUE FIRE PROTECTION DISTRICT
Practice address
380 Curtis Ave.
De Beque, CO 81630-0180
Phone
(970) 283-8632
Fax
(970) 283-8632
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Nick J Marx
Title
Fire Chief
Phone
(970) 283-8632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

380 Curtis Ave.
De Beque, CO 81630-0180

Mailing address

PO Box 180
380 Curtis Avenue
De Beque, CO 81630-0180
Phone (970) 283-8632

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150430000225 CO Part B Supplier - Ambulance Service Supplier 7719206473 Practice locations: Debeque, CO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1245401355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180",
            "address_2": "380 CURTIS AVENUE",
            "city": "DE BEQUE",
            "state": "CO",
            "postal_code": "816300180",
            "telephone_number": "970-283-8632",
            "fax_number": "970-283-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 CURTIS AVE.",
            "city": "DE BEQUE",
            "state": "CO",
            "postal_code": "816300180",
            "telephone_number": "970-283-8632",
            "fax_number": "970-283-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE BEQUE FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "MARX",
        "authorized_official_first_name": "NICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "970-283-8632"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in De Beque, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.