NPIMap

Organization Active NPI

Ute Pass Regional Ambulance District

  • Land Ambulance
  • Woodland Park, CO
National Provider Identifier
1477221604
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
UTE PASS REGIONAL AMBULANCE DISTRICT
Doing business as
Ute Pass Regional Ambulance District
Practice address
785 Red Feather LN
Woodland Park, CO 80863-1039
Phone
(719) 687-2291
Fax
(719) 687-6410
NPI assigned
Sep 2, 2021
Last updated
Sep 2, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
UTE PASS REGIONAL HEALTH SERVICE DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Authorized official

Name
Timothy John Dienst
Title
Ceo
Phone
(719) 687-2291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

785 Red Feather LN
Woodland Park, CO 80863-1039

Mailing address

PO Box 149
Woodland Park, CO 80866-0149
Phone (719) 687-2291

Other identifiers 1

IdentifierTypeStateIssuer
06804781MedicaidCO

Other names 1

  • Ute Pass Regional Ambulance District Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ute Pass Regional Ambulance District2 organizations share this tax ID, including this one
Part of
Ute Pass Regional Ambulance District

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1477221604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 149",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808660149",
            "telephone_number": "719-687-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 RED FEATHER LN",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808631039",
            "telephone_number": "719-687-2291",
            "fax_number": "719-687-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTE PASS REGIONAL AMBULANCE DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UTE PASS REGIONAL HEALTH SERVICE DISTRICT",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "DIENST",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-687-2291"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06804781",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ute Pass Regional Ambulance District",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodland Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.