South Metro Fire Rescue Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SOUTH METRO FIRE RESCUE FIRE PROTECTION DISTRICT

Practice address

9195 E Mineral Ave
Centennial, CO 80112-3549

Phone

(720) 989-2311

Fax

(720) 989-2110

NPI assigned

Aug 22, 2006

Organization subpart

No

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

Authorized official

Name

Dillon Miskimins

Title

Chief Financial Officer

Phone

(720) 989-2217

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Parker Fire Protection District Former legal business name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511136000000",
    "number": "1689780413",
    "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": "801123549",
            "telephone_number": "720-989-2311",
            "fax_number": "720-989-2110"
        },
        {
            "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": "801123549",
            "telephone_number": "720-989-2311",
            "fax_number": "720-989-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH METRO FIRE RESCUE FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2017-11-20",
        "status": "A",
        "authorized_official_last_name": "MISKIMINS",
        "authorized_official_first_name": "DILLON",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "720-989-2217"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06000699",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "590015607",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parker Fire Protection District",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.