Tri-Lakes Monument Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TRI-LAKES MONUMENT FIRE PROTECTION DISTRICT

Practice address

16055 Old Forest PT Ste 102
Monument, CO 80132-8670

Phone

(719) 484-0911

Fax

(719) 481-3456

NPI assigned

Feb 12, 2007

Last updated

Jul 21, 2022By 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

Andy Kovacs, AUTHORIZED OFFICIAL

Title

Fire Chief

Phone

(719) 484-0911

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tri-Lakes Fire Protection District Other name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Tax ID family

Tri-Lakes Monument Fire Protection District2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Tri-Lakes Monument Fire Protection District

  • Land Ambulance
  • Monument, CO
  • NPI 1942082318
  NPD tax ID

Locations

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1558402370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16055 OLD FOREST PT STE 102",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328670",
            "telephone_number": "719-484-0911",
            "fax_number": "719-481-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16055 OLD FOREST PT STE 102",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328670",
            "telephone_number": "719-484-0911",
            "fax_number": "719-481-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-LAKES MONUMENT FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2022-07-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "KOVACS",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "719-484-0911",
        "authorized_official_credential": "AUTHORIZED OFFICIAL"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06630834",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-Lakes Fire Protection District",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Tri-Lakes Fire Protection District",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Charles Reagan Toal, PT, DPT
• Ryan G Tollis, DPT
• Michael Torres, D.O.
• Tri Lakes Dental
• Tri-Lakes Counseling and Peak Performance, LLC (Trent Claypool, PsyD)
• Tri-Lakes Monument Fire Protection District
• Jaimee Troyer, MSN, APRN, PMHNP-BC
• Sarah Trythall
• Robin Gene Van Helmond, RDN
• Emily Van Rensburg, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.