South Metro Fire Rescue

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

SOUTH METRO FIRE RESCUE

Practice address

9195 E Mineral Ave
Centennial, CO 80112-3554

Phone

(720) 488-7171

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Marilyn Bourn

Title

EMS Chief

Phone

(720) 488-7171

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568418184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9195 E MINERAL AVE",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9195 E MINERAL AVE",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123554",
            "telephone_number": "720-488-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH METRO FIRE RESCUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOURN",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "720-488-7171"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66000707",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Centennial, CO
• Providers in Centennial, CO by specialty
• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.