Organization Active NPI

Ute Pass Regional Health Service District

  • Land Ambulance
  • Woodland Park, CO
National Provider Identifier
1811935877
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
UTE PASS REGIONAL HEALTH SERVICE DISTRICT
Practice address
785 Red Feather LN
Woodland Park, CO 80863-1039
Phone
(719) 687-2291
Fax
(719) 687-6410
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Timothy John Dienst
Title
Ceo
Phone
(719) 686-6691

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X CO Primary
Land Ambulance 3416L0300X

Addresses

Primary practice location

785 Red Feather LN
Woodland Park, CO 80863-1039

Mailing address

PO Box 149
Woodland Park, CO 80866-0149
Phone (719) 687-2291

Other identifiers 1

IdentifierTypeStateIssuer
06648737MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060628000322 CO Part B Supplier - Ambulance Service Supplier 0143232579 Practice locations: Woodland Park, CO

National Provider Directory

National Provider Directory

Locations

1017 E US Highway 24
Unit B
Woodland Park, CO 80863
Phone (719) 522-3633

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1811935877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 149",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808660149",
            "telephone_number": "719-687-2291",
            "fax_number": "719-687-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 RED FEATHER LN",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808631039",
            "telephone_number": "719-687-2291",
            "fax_number": "719-687-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTE PASS REGIONAL HEALTH SERVICE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "DIENST",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-686-6691"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CO",
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06648737",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.