Active NPI
Olathe Fire Protection District EMS
- Land Ambulance
- Olathe, CO
National Provider Identifier
1265418396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 9808804
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00165727 | Other | RAILROAD WORKERS MEDICARE | |
| 83633375 | Medicaid | CO |
Other names 1
- Olathe Fire Protection District
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090206000303 | CO | Part B Supplier - Ambulance Service Supplier | 3971667999 | Practice locations: Olathe, CO |
National Provider Directory
National Provider DirectoryLocations
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.