Organization Active NPI

Colorado River Fire Rescue

  • Land Ambulance
  • Rifle, CO
National Provider Identifier
1992040604
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
4152 Issued in CO
Legal business name
COLORADO RIVER FIRE RESCUE
Practice address
1850 Railroad Ave
Rifle, CO 81650-3204
Phone
(970) 625-1243
Fax
(970) 625-2963
NPI assigned
Dec 6, 2012
Last updated
Jan 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Authorized official

Name
Mr. Robert P Jones
Title
Fire Chief
Phone
(970) 625-1243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 4152 CO Primary

Addresses

Primary practice location

1850 Railroad Ave
Rifle, CO 81650-3204

Mailing address

1850 Railroad Avenue
Rifle, CO 81650
Phone (970) 625-1243

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130318000101 CO Part B Supplier - Ambulance Service Supplier 6305081514 Practice locations: Silt, CO; Rifle, CO; New Castle, CO

National Provider Directory

National Provider Directory

Locations

1850 Railroad Ave
Rifle, CO 81650
Phone (970) 625-1243

419 Last Chance Dr
Rifle, CO 81650
Phone (970) 625-1243

611 Main St
Silt, CO 81652
Phone (970) 625-1243

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1992040604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 RAILROAD AVENUE",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "81650",
            "telephone_number": "970-625-1243",
            "fax_number": "970-625-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 RAILROAD AVE",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816503204",
            "telephone_number": "970-625-1243",
            "fax_number": "970-625-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO RIVER FIRE RESCUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "970-625-1243",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CO",
            "license": "4152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rifle, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.