Organization Active NPI

Larkspur Fire Protection District

  • Land Ambulance
  • Larkspur, CO
National Provider Identifier
1346356003
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
LARKSPUR FIRE PROTECTION DISTRICT
Practice address
9414 Spruce Mountain Rd
Larkspur, CO 80118-1221
Phone
(303) 681-3284
Fax
(303) 681-3201
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Authorized official

Name
Stuart Mills
Title
EMS Coordinator
Phone
(303) 681-3284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

9414 Spruce Mountain Rd
Larkspur, CO 80118-1221

Mailing address

9414 Spruce Mountain Rd
Larkspur, CO 80118-1221
Phone (303) 681-3284

Other identifiers 2

IdentifierTypeStateIssuer
06001630MedicaidCO
P00117556OtherCORAIL ROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050124000975 CO Part B Supplier - Ambulance Service Supplier 8123078540 Practice locations: Larkspur, CO

National Provider Directory

National Provider Directory

Locations

9414 Spruce Mountain Rd
Larkspur, CO 80118
Phone (303) 681-3284

5672 Red Rock Dr
Larkspur, CO 80118
Phone (303) 681-3284

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1346356003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9414 SPRUCE MOUNTAIN RD",
            "city": "LARKSPUR",
            "state": "CO",
            "postal_code": "801181221",
            "telephone_number": "303-681-3284",
            "fax_number": "303-681-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9414 SPRUCE MOUNTAIN RD",
            "city": "LARKSPUR",
            "state": "CO",
            "postal_code": "801181221",
            "telephone_number": "303-681-3284",
            "fax_number": "303-681-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARKSPUR FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "EMS COORDINATOR",
        "authorized_official_telephone_number": "303-681-3284"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06001630",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00117556",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Larkspur, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.