Organization Active NPI

City of Lamar

Doing business as Lamar Ambulance Service

  • Land Ambulance
  • Lamar, CO
National Provider Identifier
1871199000
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF LAMAR
Doing business as
Lamar Ambulance Service
Practice address
102 E Parmenter St
Lamar, CO 81052-3239
Phone
(719) 336-4321
Fax
(719) 336-2331
NPI assigned
Dec 11, 2020
Last updated
Oct 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Jeremiah J Burkhart
Title
Fire Chief
Phone
(719) 336-4321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

102 E Parmenter St
Lamar, CO 81052-3239

Mailing address

102 E. Parmenter St
Lamar, CO 81052
Phone (719) 336-4321

Other identifiers 1

IdentifierTypeStateIssuer
9000180337MedicaidCO

Other names 1

  • Lamar Ambulance Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100325001038 CO Part B Supplier - Ambulance Service Supplier 2163558495 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lamar, CO

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

102 E Parmenter St
Lamar, CO 81052
Phone (719) 336-4321

505 S Main St
Lamar, CO 81052
Phone (303) 336-4321

NPI Registry JSON

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1871199000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E. PARMENTER ST",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "81052",
            "telephone_number": "719-336-4321",
            "fax_number": "719-336-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E PARMENTER ST",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810523239",
            "telephone_number": "719-336-4321",
            "fax_number": "719-336-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF LAMAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "BURKHART",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "719-336-4321"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000180337",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lamar Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lamar Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lamar, CO

Sources for this page

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