Platte Canyon Rescue Service Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

19871249371 Issued in CO

Legal business name

PLATTE CANYON RESCUE SERVICE INC

Practice address

153 Delwood Dr
Unit 2
Bailey, CO 80421

Phone

(303) 838-8809

Fax

(303) 838-9343

NPI assigned

May 19, 2008

Last updated

May 19, 2008By 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

Jennifer Brisse

Title

Billing Manage

Phone

(303) 798-6347

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1669639571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3982",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801613982",
            "telephone_number": "303-798-6347",
            "fax_number": "303-798-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 DELWOOD DR",
            "address_2": "UNIT 2",
            "city": "BAILEY",
            "state": "CO",
            "postal_code": "80421",
            "telephone_number": "303-838-8809",
            "fax_number": "303-838-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATTE CANYON RESCUE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "BRISSE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BILLING MANAGE",
        "authorized_official_telephone_number": "303-798-6347"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CO",
            "license": "19871249371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06634836",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara J Olseen, MSW, LCSW
• Melissa S Ortega
• Paragon Behavioral Health Connections
• Paragon Behavioral Health Connections
• Platte Canyon Fire Protection District
• Ryan Plourde, LCSW
• Porter Adventist Hospital
• Dustin Ted Powell, LPC, MA, CACIII
• Private Healthcare Facilities
• Julie Rich-Winkel, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.