City of Sierra Vista

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF SIERRA VISTA

Doing business as

Sierra Vista Fire & Medical Service

Practice address

1011 N Coronado Dr
Sierra Vista, AZ 85635-6334

Phone

(520) 458-3315

Fax

(520) 417-6932

NPI assigned

Jul 6, 2006

Last updated

Oct 13, 2026By 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

Charles Potucek

Title

City Manager

Phone

(520) 458-3315

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Sierra Vista Fire & Medical Service Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1053343624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N CORONADO DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856356334",
            "telephone_number": "520-458-3315",
            "fax_number": "520-417-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N CORONADO DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856356334",
            "telephone_number": "520-458-3315",
            "fax_number": "520-417-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SIERRA VISTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "POTUCEK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CITY MANAGER",
        "authorized_official_telephone_number": "520-458-3315"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AZ",
            "license": "25",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "189983600",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070350",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0150630",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "01000810",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "756590411",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Vista Fire & Medical Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chiropractic Wellness and Alternative Medicine Center Inc.
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• Charity Christensen
• Christopher W Weyer DO PC
• Amanda Marie Cianciolo, RN
• Kathleen Moore Clancy, PT, DPT
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• John Franklin Clay II, DO
• Margarita Clemons, NP
• Kevin Clifford, DO

• Land Ambulance in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Land Ambulance in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; 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.