Fowler Rural Fire Protection District

Primary specialty

AmbulanceTaxonomy code 341600000X

License

745-AFZ Issued in CO

Legal business name

FOWLER RURAL FIRE PROTECTION DISTRICT

Practice address

215 7TH St
Fowler, CO 81039-1110

Phone

(719) 263-5121

NPI assigned

May 20, 2007

Organization subpart

No

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

Authorized official

Name

Nancy Jensen

Title

Asst. Treasurer

Phone

(719) 263-5121

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457569675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 7TH ST",
            "city": "FOWLER",
            "state": "CO",
            "postal_code": "810391110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 7TH ST",
            "city": "FOWLER",
            "state": "CO",
            "postal_code": "810391110",
            "telephone_number": "719-263-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOWLER RURAL FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "ASST. TREASURER",
        "authorized_official_telephone_number": "719-263-5121"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CO",
            "license": "745-AFZ",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Lynne Baca, OTR
• Alina Jolene Davis, RN
• Kassidy Fleming-Bankston, CCC-SLP
• Fowler Health Care Center, Inc.
• Suzanne Perez Heckmann
• Lil Buckaroo Pediatrics
• Cami Manchego
• Robert B Moorhead
• Gordon Ray

• All providers in Fowler, CO
• 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.