Organization Active NPI

Elk Creek Fire Protection District

  • Land Ambulance
  • Conifer, CO
National Provider Identifier
1265581763
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
06000400MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100809000195 CO Part B Supplier - Ambulance Service Supplier 9133252349 Practice locations: Conifer, CO; Pine, CO

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.