City of Nogales

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF NOGALES

Practice address

777 N Grand Ave
Nogales, AZ 85621-2262

Phone

(520) 285-5647

Fax

(520) 287-2230

NPI assigned

Jun 29, 2005

Last updated

Aug 22, 2020By 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

Ms. Patricia Edith Mares

Title

Ambulance Billing Specialist

Phone

(520) 285-5647

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1120003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073510699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N GRAND AVE",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856212262",
            "telephone_number": "520-285-5647",
            "fax_number": "520-287-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 N GRAND AVE",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856212262",
            "telephone_number": "520-285-5647",
            "fax_number": "520-287-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF NOGALES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARES",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "EDITH",
        "authorized_official_title_or_position": "AMBULANCE BILLING SPECIALIST",
        "authorized_official_telephone_number": "520-285-5647",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071994",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blanca Castro, RN
• Axel Eduardo Chavez Mojica, DDS
• Rosalinda Chavez
• Bernardo Chavira, DO
• Child & Family Resources, Inc.
• Codac Health, Recovery & Wellness, Inc.
• Community Intervention Associates (Community Health Associates)
• Community Medical Services Arizona-Private, LLC (Community Medical Services Nogales)
• Community Medical Services Arizona-Private, LLC (Community Medical Services)
• Jason Condro, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.