Organization Active NPI

Penrose Volunteer Fire Department

  • Ambulance
  • Montrose, CO
National Provider Identifier
1457594053
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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

Updated by the provider on Jan 15, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
04801776MedicaidCO

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.