Deer Mountain Fire Protection District

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

DEER MOUNTAIN FIRE PROTECTION DISTRICT

Doing business as

Deer Mountain EMS

Practice address

6181 County Road 28
Cotopaxi, CO 81223-8722

Phone

(719) 942-9610

NPI assigned

May 7, 2013

Last updated

Aug 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen A McKee

Title

Treasurer

Phone

(719) 942-3507

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Deer Mountain EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1316382138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6181 COUNTY ROAD 28",
            "city": "COTOPAXI",
            "state": "CO",
            "postal_code": "812238722",
            "telephone_number": "719-942-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6181 COUNTY ROAD 28",
            "city": "COTOPAXI",
            "state": "CO",
            "postal_code": "812238722",
            "telephone_number": "719-942-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEER MOUNTAIN FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-07",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "MCKEE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "719-942-3507"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66770106",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deer Mountain EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Carter, PHD
• Catherine Desponett, MA, MFTC, LAC, PRE
• Kayli Ann Hardin, LMFT-S
• Kayli Cross Counseling, LLC (Juniper Crossing Practice: Solutions for Grounded Living)
• Sara Oddi, LCSW
• Jody Lynn Overholt

• Ambulance in Cotopaxi, CO
• Providers in Cotopaxi, CO by specialty
• Ambulance in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.