Elfrida Fire District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

EMS2837 Issued in AZ

Legal business name

ELFRIDA FIRE DISTRICT

Practice address

10293 N Central Hwy
Elfrida, AZ 85610-0068

Phone

(520) 642-3749

Fax

(520) 642-3749

NPI assigned

Jul 18, 2005

Organization subpart

No

Name

Mr. Steve Estelle

Title

Chief

Phone

(520) 642-3749

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

• ELFRIDA AMBULANCE SERVICE Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 18, 2007.

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1013916618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "address_2": "10293 CENTRAL HWY.",
            "city": "ELFRIDA",
            "state": "AZ",
            "postal_code": "856100068",
            "telephone_number": "520-642-3749",
            "fax_number": "520-642-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10293 N CENTRAL HWY",
            "city": "ELFRIDA",
            "state": "AZ",
            "postal_code": "856100068",
            "telephone_number": "520-642-3749",
            "fax_number": "520-642-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELFRIDA FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "ESTELLE",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "520-642-3749",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AZ",
            "license": "EMS2837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0150560",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "070392",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELFRIDA AMBULANCE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy Diann Clyne, NP
• Teresa Ann Colby, FNP
• Karen Elizabeth Crockett, MD
• Dennis Joel Day Sr., D.D.S.
• Carmen Alicia De la Cruz
• Julie Marie Gamez, RDH
• Karolyn Kay George, DDS
• Health From Home
• Brianna Leigh Hillier, D.M.D.
• Joshua Jean, MD

• All providers in Elfrida, AZ
• Land Ambulance in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.