TIMBER MESA FIRE AND MEDICAL DISTRICT NPI 1194101808

NPI Information

NPI: 1194101808
Provider Name: TIMBER MESA FIRE AND MEDICAL DISTRICT
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 03D1029373

Address:
2922 W WHITE MOUNTAIN BLVD
LAKESIDE, AZ
ZIP 85929
Phone: (928) 537-5100
Get Directions

TIMBER MESA FIRE AND MEDICAL DISTRICT is a land transport ambulance in Lakeside, AZ. TIMBER MESA FIRE AND MEDICAL DISTRICT NPI is 1194101808. The provider is registered as an organization entity type.

The provider's business location address is:

2922 W WHITE MOUNTAIN BLVD
LAKESIDE, AZ
ZIP 85929-152
Phone: (928) 537-5100
Fax: (928) 368-5643

The provider's authorized official is Brian Savage .
The authorized official title is Fire Chief and has the following contact phone number (928) 537-5100.

The CLIA number assigned to this NPI record is 03D1029373 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/4/2015 and was last updated on 2/24/2016.

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			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	093135	MEDICAID	ARIZONA
2	Z182789	MEDICARE UPIN

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: 4/28/2024

NPI Synchronization or Removal

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