City of Page

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF PAGE

Doing business as

City of Page Fire Department .Ambulance Service

Practice address

808 Coppermine Road
Page, AZ 86040-1180

Phone

(928) 645-4340

Fax

(928) 645-4346

NPI assigned

Jan 30, 2007

Last updated

Apr 7, 2011By 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

Mr. Everett W Thomas III

Title

City Manager

Phone

(402) 572-4019

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• City of Page Fire Department .Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Tax ID family

City of Page2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• City of Page

  dba City of Page- Senior Meal Program

  • Home Delivered Meals
  • Page, AZ
  • NPI 1265008205
  NPD tax ID

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1083751176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641880",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681647880",
            "telephone_number": "402-572-4017",
            "fax_number": "402-965-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 COPPERMINE ROAD",
            "city": "PAGE",
            "state": "AZ",
            "postal_code": "860401180",
            "telephone_number": "928-645-4340",
            "fax_number": "928-645-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "EVERETT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CITY MANAGER",
        "authorized_official_telephone_number": "402-572-4019",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UT MEDICAID",
            "identifier": "1083751176",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z128585",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113192",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590008646",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ 0151600",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Page Fire Department .Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brent E Case
• Pamela Juliet Chambers, CRNA
• Ralph L Chester, M.D.
• Ryan Kerry Chin
• Ronald L Christ, M.D.
• City of Page (City of Page- Senior Meal Program)
• Benjamin Joseph Cluff, M.D.
• Community Bridges, Inc. (CBI - Encompass Page Stabilization And Recovery Center)
• Community Bridges, Inc. (SMI Supportive Housing - Coconino)
• Community Bridges, Inc. (CBI - Encompass Page Integrated Health Home Adolescent Program)

• Land Ambulance in Page, AZ
• Providers in Page, 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 7, 2011; 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.