SOUTH FORK FIRE PROTECTION DISTRICT NPI 1205242872

NPI Information

  • NPI: 1205242872
  • Provider Name: SOUTH FORK FIRE PROTECTION DISTRICT
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • Address: 0028 MALL ROAD
    SOUTH FORK, CO
    ZIP 81154
  • Phone: (719) 873-1030

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NPI Details

SOUTH FORK FIRE PROTECTION DISTRICT is a land transport ambulance in South Fork, CO. SOUTH FORK FIRE PROTECTION DISTRICT NPI is 1205242872. The provider is registered as an organization entity type.

The provider's business location address is:

0028 MALL ROAD
SOUTH FORK, CO
ZIP 81154
Phone: (719) 873-1030
Fax: (719) 873-1030

The provider's authorized official is Tyler Off .
The authorized official title is Fire Chief and has the following contact phone number (719) 873-1030.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ground mileage, per statute mile (HCPCS:A0425)
  • Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) (HCPCS:A0427)
  • Ambulance service, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)
  • Ambulance service, basic life support, non-emergency transport, (bls) (HCPCS:A0428)

The enumeration date for this NPI number is 7/3/2014 and was last updated on 1/26/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13416L0300XAmbulanceLand Transport154COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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