Organization Active NPI

Basalt & Rural Fire Protection District

  • Land Ambulance
  • Carbondale, CO
National Provider Identifier
1790788305
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
007-2011,008-2011,00 Issued in CO
Legal business name
BASALT & RURAL FIRE PROTECTION DISTRICT
Practice address
1089 JW Drive
Carbondale, CO 81623-9587
Phone
(970) 704-0675
Fax
(970) 704-0625
NPI assigned
May 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Authorized official

Name
Jennifer C. Lemke
Title
Finance Controller
Phone
(970) 704-0675

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X CO
Land Ambulance 3416L0300X 007-2011,008-2011,00 CO Primary

Addresses

Primary practice location

1089 JW Drive
Carbondale, CO 81623-9587

Mailing address

1089 JW Drive
Carbondale, CO 81623-9587
Phone (970) 704-0675

Other identifiers 1

IdentifierTypeStateIssuer
06604433MedicaidCO

National Provider Directory

National Provider Directory

Locations

20 School St
Basalt, CO 81621
Phone (970) 704-0675

1089 J W Dr
Carbondale, CO 81623
Phone (970) 704-0675

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1790788305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1089 JW DRIVE",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816239587",
            "telephone_number": "970-704-0675",
            "fax_number": "970-704-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1089 JW DRIVE",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816239587",
            "telephone_number": "970-704-0675",
            "fax_number": "970-704-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASALT & RURAL FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "LEMKE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "FINANCE CONTROLLER",
        "authorized_official_telephone_number": "970-704-0675"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CO",
            "license": "007-2011,008-2011,00",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06604433",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.