SUNSITES PEARCE FIRE DISTRICT NPI 1417006867

NPI Information

NPI: 1417006867
Provider Name: SUNSITES PEARCE FIRE DISTRICT
Classification: Emergency Medical Technician, Paramedic - 146L00000X
Entity Type: Organization

CLIA Number: 03D1029141

Address:
105 N TRACY ROAD
PEARCE, AZ
ZIP 85625
Phone: (520) 826-3645
Get Directions

SUNSITES PEARCE FIRE DISTRICT is an emergency medical technician paramedic in Pearce, AZ. The provider is an EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. SUNSITES PEARCE FIRE DISTRICT NPI is 1417006867. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

105 N TRACY ROAD
PEARCE, AZ
ZIP 85625-412
Phone: (520) 826-3645
Fax: (520) 826-3586

The provider's authorized official is Sylvia Waynick .
The authorized official title is Sec Bookkeeper and has the following contact phone number (520) 826-3645.

The CLIA number assigned to this NPI record is 03D1029141 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/8/2007 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	146L00000X	Emergency Medical Technician, Paramedic		33	ARIZONA	Yes
2	146N00000X	Emergency Medical Technician, Basic		33	ARIZONA	X

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	8100606	OTHER	ARIZONA	PACIFICARE

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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