Active NPI
Penrose Volunteer Fire Department
- Ambulance
- Montrose, CO
National Provider Identifier
1457594053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- PENROSE VOLUNTEER FIRE DEPARTMENT
- Practice address
- 2233 East Main Street
Montrose, CO 81401 - Phone
- (970) 249-3700
- Fax
- (970) 497-8410
- NPI assigned
- Apr 13, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Calvin Sunderman
- Title
- Ambulance Director
- Phone
- (719) 372-3001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
2233 East Main Street
Montrose, CO 81401
Mailing address
207 Broadway
Penrose, CO 81240
Phone (719) 372-3001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04801776 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
207 Broadway
Penrose, CO 81240
Phone (719) 372-3001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389744000000",
"number": "1457594053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 BROADWAY",
"city": "PENROSE",
"state": "CO",
"postal_code": "81240",
"telephone_number": "719-372-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2233 EAST MAIN STREET",
"city": "MONTROSE",
"state": "CO",
"postal_code": "81401",
"telephone_number": "970-249-3700",
"fax_number": "970-497-8410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENROSE VOLUNTEER FIRE DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-13",
"last_updated": "2014-01-15",
"status": "A",
"authorized_official_last_name": "SUNDERMAN",
"authorized_official_first_name": "CALVIN",
"authorized_official_title_or_position": "AMBULANCE DIRECTOR",
"authorized_official_telephone_number": "719-372-3001"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04801776",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montrose, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.