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MAYER FIRE DISTRICT NPI 1619933587


NPI Information

NPI: 1619933587
Provider Name: MAYER FIRE DISTRICT

Doing Business As: MAYER FIRE DISTRICT AMBULANCE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 03D1055910

Address:
11975 S. HWY 69
MAYER, AZ
ZIP 86333
Phone: (928) 632-9534
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MAYER FIRE DISTRICT is a land transport ambulance in Mayer, AZ. MAYER FIRE DISTRICT NPI is 1619933587. The provider is registered as an organization entity type.
The provider Is Doing Business As Mayer Fire District Ambulance.

The provider's business location address is:

11975 S. HWY 69
MAYER, AZ
ZIP 86333-340
Phone: (928) 632-9534
Fax: (928) 632-7463

The provider's authorized official is Suzanne Owen .
The authorized official title is Office Manager and has the following contact phone number (928) 632-9534.

The CLIA number assigned to this NPI record is 03D1055910 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/21/2006 and was last updated on 4/30/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13416L0300XAmbulanceLand TransportCON # 117 / EMS 2900ARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1311621MEDICAIDARIZONA
2ZRMBBNMEDICARE PINARIZONA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.