Active NPI
Basalt & Rural Fire Protection District
- Land Ambulance
- Carbondale, CO
National Provider Identifier
1790788305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 007-2011,008-2011,00
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06604433 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
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.