Active NPI
Larkspur Fire Protection District
- Land Ambulance
- Larkspur, CO
National Provider Identifier
1346356003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06001630 | Medicaid | CO | |
| P00117556 | Other | CO | RAIL ROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050124000975 | CO | Part B Supplier - Ambulance Service Supplier | 8123078540 | Practice locations: Larkspur, CO |
National Provider Directory
National Provider DirectoryLocations
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.