PINE-STRAWBERRY FIRE DISTRICT NPI 1952396145

NPI Information

PINE-STRAWBERRY FIRE DISTRICT is an ambulance in Pine, AZ. 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). PINE-STRAWBERRY FIRE DISTRICT NPI is 1952396145. The provider is registered as an organization entity type.
The provider Is Doing Business As Pine-strawberry Fire Departmen.

The provider's business location address is:

6198 HARDSCRABBLE MESA RD.
PINE, AZ
ZIP 85544
Phone: (928) 476-4272
Fax: (928) 476-4634

The provider's authorized official is David M. Staub .
The authorized official title is Fire Chief and has the following contact phone number (928) 476-4272.

The CLIA number assigned to this NPI record is 03D1029953 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2005 and was last updated on 12/12/2011.

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:

Other Identifiers

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

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