Active NPI
Elk Creek Fire Protection District
- Land Ambulance
- Conifer, CO
National Provider Identifier
1265581763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- ELK CREEK FIRE PROTECTION DISTRICT
- Practice address
- 11993 Blackfoot Road
Conifer, CO 80433-0607 - Phone
- (303) 816-9385
- NPI assigned
- Jan 10, 2007
- Last updated
- Dec 14, 2012
- 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
- Bill McLaughlin
- Title
- Fire Chief
- Phone
- (303) 816-9385
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
11993 Blackfoot Road
Conifer, CO 80433-0607
Mailing address
PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06000400 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100809000195 | CO | Part B Supplier - Ambulance Service Supplier | 9133252349 | Practice locations: Conifer, CO; Pine, CO |
National Provider Directory
National Provider DirectoryLocations
9737 Rhodus St
#4
Conifer, CO 80433
Phone (303) 838-9748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355443200000",
"number": "1265581763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3510",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983833510",
"telephone_number": "360-394-7030",
"fax_number": "360-394-7097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11993 BLACKFOOT ROAD",
"city": "CONIFER",
"state": "CO",
"postal_code": "804330607",
"telephone_number": "303-816-9385"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELK CREEK FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-10",
"last_updated": "2012-12-14",
"status": "A",
"authorized_official_last_name": "MCLAUGHLIN",
"authorized_official_first_name": "BILL",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "303-816-9385"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06000400",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conifer, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; 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.