Active NPI
Ute Pass Regional Health Service District
- Land Ambulance
- Woodland Park, CO
National Provider Identifier
1811935877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06648737 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060628000322 | CO | Part B Supplier - Ambulance Service Supplier | 0143232579 | Practice locations: Woodland Park, CO |
National Provider Directory
National Provider DirectoryLocations
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.