Organization Active NPI

Picture Rocks Fire District

  • Land Ambulance
  • Tucson, AZ
National Provider Identifier
1144223660
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
PICTURE ROCKS FIRE DISTRICT
Practice address
12121 W Picture Rocks Rd
Tucson, AZ 85743-9722
Phone
(520) 682-7878
Fax
(520) 682-0421
NPI assigned
May 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Authorized official

Name
Leonard Brett Lane
Title
Fire Chief
Phone
(520) 682-7878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

12121 W Picture Rocks Rd
Tucson, AZ 85743-9722

Mailing address

12121 W Picture Rocks Rd
Tucson, AZ 85743-9722
Phone (520) 682-7878

Other identifiers 2

IdentifierTypeStateIssuer
072009MedicaidAZ
AZ0151080OtherAZBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031205000632 AZ Part B Supplier - Ambulance Service Supplier 5597660092 Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

7341 N Sandario Rd
Tucson, AZ 85743
Phone (520) 682-4963

12121 W Picture Rocks Rd
Tucson, AZ 85743
Phone (520) 682-7878

NPI Registry JSON

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

{
    "created_epoch": "1117411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1144223660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 W PICTURE ROCKS RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857439722",
            "telephone_number": "520-682-7878",
            "fax_number": "520-682-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 W PICTURE ROCKS RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857439722",
            "telephone_number": "520-682-7878",
            "fax_number": "520-682-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICTURE ROCKS FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-30",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "BRETT",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "520-682-7878"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "072009",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "AZ0151080",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.