Deer Trail Rural Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

DEER TRAIL RURAL FIRE PROTECTION DISTRICT

Doing business as

Deer Trail Rescue

Practice address

488 1St Ave
Deer Trail, CO 80105

Phone

(720) 308-1673

Fax

(270) 744-8642

NPI assigned

Aug 13, 2007

Last updated

Mar 17, 2021By 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

Mark Dille

Title

Board President

Phone

(033) 308-1673

Specialties & licenses 1

Addresses

Other names 1

• Deer Trail Rescue Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1346432457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9150",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420029150",
            "telephone_number": "270-744-9600",
            "fax_number": "270-744-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 1ST AVE",
            "city": "DEER TRAIL",
            "state": "CO",
            "postal_code": "80105",
            "telephone_number": "720-308-1673",
            "fax_number": "270-744-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEER TRAIL RURAL FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "DILLE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "033-308-1673"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deer Trail Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Next Door Health Care
• North Central Fire Protection District
• Tracy Elaine Scott, FNP

• Land Ambulance in Deer Trail, CO
• Providers in Deer Trail, CO by specialty
• Land Ambulance in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.