NPIMap

Organization Active NPI

Southern Park County Fire Protection District

  • Land Ambulance
  • Guffrey, CO
National Provider Identifier
1659945533
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
SOUTHERN PARK COUNTY FIRE PROTECTION DISTRICT
Practice address
8340 Cr102
Guffrey, CO 80820-9606
Phone
(719) 689-9479
NPI assigned
May 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Authorized official

Name
Eugene G Farmer
Title
EMS Chief
Phone
(719) 689-9479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

8340 Cr102
Guffrey, CO 80820-9606

Mailing address

PO Box 641880
Omaha, NE 68164-7880
Phone (402) 572-4019

National Provider Directory

National Provider Directory
Tax ID family
Southern Park County 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.

NPI Registry JSON

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1659945533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641880",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681647880",
            "telephone_number": "402-572-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 CR102",
            "city": "GUFFREY",
            "state": "CO",
            "postal_code": "808209606",
            "telephone_number": "719-689-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PARK COUNTY FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "719-689-9479"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.