Town of Taylor

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TOWN OF TAYLOR

Doing business as

Snowflake Taylor Ambulance Service

Practice address

425 Papermill Rd
Taylor, AZ 85939-0158

Phone

(928) 536-7900

Fax

(928) 536-6122

NPI assigned

Jun 2, 2006

Last updated

Apr 16, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Clint G Burden, CEP

Title

Director

Phone

(928) 536-7900

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Snowflake Taylor Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1023055399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "TAYLOR",
            "state": "AZ",
            "postal_code": "859390158",
            "telephone_number": "928-536-7900",
            "fax_number": "928-536-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 PAPERMILL RD",
            "city": "TAYLOR",
            "state": "AZ",
            "postal_code": "859390158",
            "telephone_number": "928-536-7900",
            "fax_number": "928-536-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF TAYLOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "BURDEN",
        "authorized_official_first_name": "CLINT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "928-536-7900",
        "authorized_official_credential": "CEP"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000R354S",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "072562",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Snowflake Taylor Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jessica Stewart, LMT
• The Soar Clinic LLC
• Wal-Mart Stores, Inc. (WalMart Vision Center 30-4355)
• Walmart Inc.

• Land Ambulance in Taylor, AZ
• Providers in Taylor, AZ by specialty
• Land Ambulance in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.