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GOLDEN SHORES FIRE DEPARTMENT NPI 1265508105


NPI Information

NPI: 1265508105
Provider Name: GOLDEN SHORES FIRE DEPARTMENT

Other Name: GOLDEN SHORES VOLUNTEER FIRE

Classification: Ambulance - 341600000X
Entity Type: Organization

CLIA Number: 03D1027662

Address:
12950 OATMAN HWY
TOPOCK, AZ
ZIP 86436
Phone: (928) 768-4546
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GOLDEN SHORES FIRE DEPARTMENT is an ambulance in Topock, 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). GOLDEN SHORES FIRE DEPARTMENT NPI is 1265508105. The provider is registered as an organization entity type.
The provider Other Name Is Golden Shores Volunteer Fire.

The provider's business location address is:

12950 OATMAN HWY
TOPOCK, AZ
ZIP 86436
Phone: (928) 768-4546
Fax: (928) 768-4544

The provider's authorized official is Robey Lynn Betts .
The authorized official title is Secretary Treasurer and has the following contact phone number (928) 768-4546.

The CLIA number assigned to this NPI record is 03D1027662 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/24/2006 and was last updated on 10/17/2007.


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
1341600000XAmbulanceYes

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: 5/5/2024

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