Active NPI
City of Lamar
Doing business as Lamar Ambulance Service
- Land Ambulance
- Lamar, CO
National Provider Identifier
1871199000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2024
- 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
- Jeremiah J Burkhart
- Title
- Fire Chief
- Phone
- (719) 336-4321
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000180337 | Medicaid | CO |
Other names 1
- Lamar Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.