Cosumnes Community Services District

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

COSUMNES COMMUNITY SERVICES DISTRICT

Practice address

10573 E Stockton Blvd
Elk Grove, CA 95624-9743

Phone

(916) 405-7100

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Brett Christopher Shurr

Title

EMS Battalion Chief

Phone

(916) 405-7131

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• cosumnes community services district fire department Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1740354422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10573 E STOCKTON BLVD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956249743",
            "telephone_number": "916-405-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10573 E STOCKTON BLVD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956249743",
            "telephone_number": "916-405-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8820 Elk Grove Blvd",
            "address_purpose": "LOCATION",
            "city": "Elk Grove",
            "state": "CA",
            "postal_code": "956241876",
            "country_code": "US",
            "telephone_number": "916-714-5109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COSUMNES COMMUNITY SERVICES DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "SHURR",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "EMS BATTALION CHIEF",
        "authorized_official_telephone_number": "916-405-7131"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE00675F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "cosumnes community services district fire department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulance in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.