BEAVER DAM LITTLEFIELD FIRE DISTRICT NPI 1700883113

NPI Information

NPI: 1700883113
Provider Name: BEAVER DAM LITTLEFIELD FIRE DISTRICT

Other Name: BEAVER DAM AMBULANCE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
630 N HWY 91
LITTLEFIELD, AZ
ZIP 86432
Phone: (928) 347-5114
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BEAVER DAM LITTLEFIELD FIRE DISTRICT is a land transport ambulance in Littlefield, AZ. BEAVER DAM LITTLEFIELD FIRE DISTRICT NPI is 1700883113. The provider is registered as an organization entity type.
The provider Other Name Is Beaver Dam Ambulance.

The provider's business location address is:

630 N HWY 91
LITTLEFIELD, AZ
ZIP 86432-579
Phone: (928) 347-5114
Fax: (928) 347-5273

The provider's authorized official is Damon Jackson .
The authorized official title is Captain and has the following contact phone number (928) 347-5114.

The enumeration date for this NPI number is 6/30/2005 and was last updated on 1/23/2015.

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
1	3416L0300X	Ambulance	Land Transport	124	ARIZONA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	747173	MEDICAID	ARIZONA
2	(EIN)-001	MEDICAID	UTAH
3	Z75652	MEDICARE PIN	ARIZONA
4	P00371415	OTHER		RAILROAD MEDICARE

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

NPI Synchronization or Removal

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