City of Federal Heights

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

EXEMPT Issued in CO

Legal business name

CITY OF FEDERAL HEIGHTS

Practice address

2400 W 90TH Ave
Federal Heights, CO 80260-5102

Phone

(303) 428-3526

Fax

(303) 428-0494

NPI assigned

Dec 21, 2005

Last updated

Sep 26, 2024By 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

Marc Mahoney

Title

Fire Chief

Phone

(303) 412-3560

Specialties & licenses 1

Addresses

Other identifiers 1

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

Locations

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1396721395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5223",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802175223",
            "telephone_number": "303-428-3526",
            "fax_number": "303-428-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W 90TH AVE",
            "city": "FEDERAL HEIGHTS",
            "state": "CO",
            "postal_code": "802605102",
            "telephone_number": "303-428-3526",
            "fax_number": "303-428-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF FEDERAL HEIGHTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "303-412-3560"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CO",
            "license": "EXEMPT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06000665",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Federal Heights, CO
• Providers in Federal Heights, CO by specialty
• Land Ambulance in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.