City of Fountain

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0002 Issued in CO

Legal business name

CITY OF FOUNTAIN

Doing business as

City of Fountain EMS

Practice address

212 N Santa Fe Ave
Fountain, CO 80817-1931

Phone

(719) 382-7800

Fax

(719) 382-1002

NPI assigned

Jun 16, 2006

Last updated

Aug 22, 2020By 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

Darin Anstine

Title

Fire Chief

Phone

(719) 382-7800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• City of Fountain EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eliot Pyles, PARAMEDIC

  • Paramedic
  • Fountain, CO
  • NPI 1164355962
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407890734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S MAIN ST",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808172282",
            "telephone_number": "719-382-7800",
            "fax_number": "719-382-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N SANTA FE AVE",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808171931",
            "telephone_number": "719-382-7800",
            "fax_number": "719-382-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF FOUNTAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANSTINE",
        "authorized_official_first_name": "DARIN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "719-382-7800"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CO",
            "license": "0002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "96372541",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Fountain EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie Katherine Chaffin, DPT
• Sydney Ann Chappell
• Jacob A Chavez, PTA
• Cheyenne Mountain Modern Dentistry, LLP (Cheyenne Mountain Modern Dentistry and Orthodontics)
• Chuckies Place
• Rebecca Lee Claros, LCSW
• Ashley Collins, PT
• Caitlyn Collins
• Colorado Dental Orthodontist Practice, PLLC (Fountain Orthodontics)
• Colorado Dental Professionals, LLC (Mesa Ridge Dental Center)

• Land Ambulance in Fountain, CO
• Providers in Fountain, CO by specialty
• Land Ambulance in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.