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VERDE VALLEY FIRE DISTRICT NPI 1902947310


NPI Information

NPI: 1902947310
Provider Name: VERDE VALLEY FIRE DISTRICT
Classification: Ambulance - 341600000X
Entity Type: Organization

CLIA Number: 03D1029958

Address:
2700 E GODARD RD
COTTONWOOD, AZ
ZIP 86326
Phone: (928) 634-2578
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VERDE VALLEY FIRE DISTRICT is an ambulance in Cottonwood, 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). VERDE VALLEY FIRE DISTRICT NPI is 1902947310. The provider is registered as an organization entity type.

The provider's business location address is:

2700 E GODARD RD
COTTONWOOD, AZ
ZIP 86326-140
Phone: (928) 634-2578

The provider's authorized official is Jerry Doerksen .
The authorized official title is Chief and has the following contact phone number (928) 634-2578.

The CLIA number assigned to this NPI record is 03D1029958 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 11/7/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1341600000XAmbulance106 EMS 2403ARIZONAYes

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
1ZRMBBRMEDICARE PINARIZONA
2070061MEDICAIDARIZONA

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

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.