Organization Active NPI

Olathe Fire Protection District EMS

  • Land Ambulance
  • Olathe, CO
National Provider Identifier
1265418396
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
9808804 Issued in CO
Legal business name
OLATHE FIRE PROTECTION DISTRICT EMS
Practice address
406 S. 5TH Street
Olathe, CO 81425
Phone
(970) 323-6234
NPI assigned
Dec 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Authorized official

Name
Christine C Gray
Title
District Administrator
Phone
(970) 323-6234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 9808804 CO Primary

Addresses

Primary practice location

406 S. 5TH Street
Olathe, CO 81425

Mailing address

PO Box 1192
Montrose, CO 81402-1192
Phone (970) 323-6234

Other identifiers 2

IdentifierTypeStateIssuer
P00165727OtherRAILROAD WORKERS MEDICARE
83633375MedicaidCO

Other names 1

  • Olathe Fire Protection District Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090206000303 CO Part B Supplier - Ambulance Service Supplier 3971667999 Practice locations: Olathe, CO

National Provider Directory

National Provider Directory

Locations

201 S 5th St
Montrose, CO 81401
Phone (970) 323-6234

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1265418396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1192",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814021192",
            "telephone_number": "970-323-6234",
            "fax_number": "970-323-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 S. 5TH STREET",
            "city": "OLATHE",
            "state": "CO",
            "postal_code": "81425",
            "telephone_number": "970-323-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLATHE FIRE PROTECTION DISTRICT EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DISTRICT ADMINISTRATOR",
        "authorized_official_telephone_number": "970-323-6234"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CO",
            "license": "9808804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD WORKERS MEDICARE",
            "identifier": "P00165727",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83633375",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olathe Fire Protection District",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Olathe Fire Protection District",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olathe, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.