Avondale Fire & Medical

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

AVONDALE FIRE & MEDICAL

Practice address

125 S Avondale Blvd Ste 100
Avondale, AZ 85323-5214

Phone

(623) 333-6249

NPI assigned

Sep 14, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Aaron Glass

Title

Deputy Chief

Phone

(623) 333-6249

Specialties & licenses 2

Addresses

Other names 1

• Avondale Fire & Medical Other name

Locations

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1053926204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S AVONDALE BLVD STE 100",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853235214",
            "telephone_number": "623-333-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S AVONDALE BLVD STE 100",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853235214",
            "telephone_number": "623-333-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVONDALE FIRE & MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "DEPUTY CHIEF",
        "authorized_official_telephone_number": "623-333-6249",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avondale Fire & Medical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Avondale Dental Partners LLC
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• Avondale Endodontics, PLC
• Avondale Family Dental Care PC.
• Avondale Hills Dental
• Avondale HME, Inc.
• Avondale Neighborhood Pharmacy LLC
• Avondale Surgical Partners
• Avondale Urgent Care LLC

• Emergency Care Clinic/Center in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Emergency Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.