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SOUTH METRO FIRE RESCUE NPI 1568418184


NPI Information

NPI: 1568418184
Provider Name: SOUTH METRO FIRE RESCUE
Classification: Ambulance - 341600000X
Entity Type: Organization

CLIA Number: 06D0959364

Address:
9195 E MINERAL AVE
CENTENNIAL, CO
ZIP 80112
Phone: (720) 488-7171
Get Directions

SOUTH METRO FIRE RESCUE is an ambulance in Centennial, CO. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). SOUTH METRO FIRE RESCUE NPI is 1568418184. The provider is registered as an organization entity type.

The provider's business location address is:

9195 E MINERAL AVE
CENTENNIAL, CO
ZIP 80112-554
Phone: (720) 488-7171

The provider's authorized official is Marilyn Bourn .
The authorized official title is Ems Chief and has the following contact phone number (720) 488-7171.

The CLIA number assigned to this NPI record is 06D0959364 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1341600000XAmbulanceCOLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
166000707MEDICAIDCOLORADO

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.