Organization Active NPI

Elfrida Fire District

Doing business as Elfrida Ambulance Service

  • Land Ambulance
  • Elfrida, AZ
National Provider Identifier
1013916618
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
EMS2837 Issued in AZ
Legal business name
ELFRIDA FIRE DISTRICT
Doing business as
Elfrida Ambulance Service
Practice address
10293 N Central Hwy
Elfrida, AZ 85610-0068
Phone
(520) 642-3749
Fax
(520) 642-3749
NPI assigned
Jul 18, 2005
Last updated
Oct 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Steve Estelle
Title
Chief
Phone
(520) 642-3749

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X EMS2837 AZ Primary

Addresses

Primary practice location

10293 N Central Hwy
Elfrida, AZ 85610-0068

Mailing address

PO Box 68
10293 Central Hwy.
Elfrida, AZ 85610-0068
Phone (520) 642-3749

Other names 1

  • ELFRIDA AMBULANCE SERVICE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120221000986 AZ Part B Supplier - Ambulance Service Supplier 4688832736 Practice locations: Elfrida, AZ

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELFRIDA AMBULANCE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elfrida, AZ

Sources for this page

  • 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.