Organization Active NPI

La Junta Rural Fire Protection District

  • Land Ambulance
  • La Junta, CO
National Provider Identifier
1407069628
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
291HXA Issued in CO
Legal business name
LA JUNTA RURAL FIRE PROTECTION DISTRICT
Practice address
601 Colorado Ave
La Junta, CO 81050-2309
Phone
(719) 384-2323
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Toni Martinez
Title
Fire Chief Secretary
Phone
(719) 384-2323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 291HXA CO Primary

Addresses

Primary practice location

601 Colorado Ave
La Junta, CO 81050-2309

Mailing address

PO Box 1066
La Junta, CO 81050-1066
Phone (719) 384-2323

Other identifiers 3

IdentifierTypeStateIssuer
06624837MedicaidCO
9000151928MedicaidCO
590042185OtherRAILROAD MEDICARE

Other names 1

  • LA JUNTA RURAL AMBULANCE SERVICE Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091222000247 CO Part B Supplier - Ambulance Service Supplier 7719027812 Practice locations: La Junta, CO

National Provider Directory

National Provider Directory
Tax ID family
La Junta Rural Fire Protection District2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

601 Colorado Ave
La Junta, CO 81050
Phone (719) 384-2323

30270 1st Ave
La Junta, CO 81050
Phone (719) 384-2323

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1407069628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1066",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810501066",
            "telephone_number": "719-384-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 COLORADO AVE",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810502309",
            "telephone_number": "719-384-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA JUNTA RURAL FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "FIRE CHIEF SECRETARY",
        "authorized_official_telephone_number": "719-384-2323"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CO",
            "license": "291HXA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06624837",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000151928",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590042185",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LA JUNTA RURAL AMBULANCE SERVICE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in La Junta, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.