Organization Active NPI

Cimarron Hills Fire Protection District

  • Land Ambulance
  • Colorado Springs, CO
National Provider Identifier
1922752476
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CIMARRON HILLS FIRE PROTECTION DISTRICT
Practice address
1835 Tuskegee PL
Colorado Springs, CO 80915-1601
Phone
(719) 591-0960
NPI assigned
Feb 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Authorized official

Name
Leah Grissom
Title
EMS Lieutenant
Phone
(719) 591-0960

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207PE0004X
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1835 Tuskegee PL
Colorado Springs, CO 80915-1601

Mailing address

1835 Tuskegee PL
Colorado Springs, CO 80915-1601
Phone (719) 591-0960

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Desktop Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220804000607 CO Part B Supplier - Ambulance Service Supplier 7315329570 Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

1885 Peterson Rd
Colorado Springs, CO 80915
Phone (719) 591-0960

1835 Tuskegee Pl
Colorado Springs, CO 80915
Phone (719) 591-0960

NPI Registry JSON

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1922752476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 TUSKEGEE PL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809151601",
            "telephone_number": "719-591-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 TUSKEGEE PL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809151601",
            "telephone_number": "719-591-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIMARRON HILLS FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "GRISSOM",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "EMS LIEUTENANT",
        "authorized_official_telephone_number": "719-591-0960"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "endpointDescription": "The desktop is on a secure server",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Secured with our billing agency",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "1835 Tuskegee Pl",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809151601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.