Organization Active NPI

Southern Inyo Fire Protection District

  • Land Ambulance
  • Tecopa, CA
National Provider Identifier
1346464666
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
SOUTHERN INYO FIRE PROTECTION DISTRICT
Practice address
410 Tecopa Hot Springs Rd
Tecopa, CA 92389-0051
Phone
(760) 852-4130
Fax
(760) 852-4130
NPI assigned
Apr 11, 2007
Last updated
Jul 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Authorized official

Name
Ms. Robin K Flinchum
Title
Board Chairperson
Phone
(760) 852-4941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

410 Tecopa Hot Springs Rd
Tecopa, CA 92389-0051

Mailing address

P.O. Box 51
Tecopa, CA 92389-0051
Phone (760) 852-4130

Other identifiers 1

IdentifierTypeStateIssuer
MTE00933FMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120308000496 CA Part B Supplier - Ambulance Service Supplier 0244278984 Practice locations: Tecopa, CA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1346464666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 51",
            "city": "TECOPA",
            "state": "CA",
            "postal_code": "923890051",
            "telephone_number": "760-852-4130",
            "fax_number": "760-852-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 TECOPA HOT SPRINGS RD",
            "city": "TECOPA",
            "state": "CA",
            "postal_code": "923890051",
            "telephone_number": "760-852-4130",
            "fax_number": "760-852-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN INYO FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "FLINCHUM",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BOARD CHAIRPERSON",
        "authorized_official_telephone_number": "760-852-4941",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE00933F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tecopa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.