Whetstone Fire District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

119 Issued in AZ

Legal business name

WHETSTONE FIRE DISTRICT

Practice address

2422 N Firehouse LN
Huachuca City, AZ 85616-9623

Phone

(520) 456-1717

Fax

(520) 456-0120

NPI assigned

Aug 2, 2005

Organization subpart

No

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

Authorized official

Name

Peter Bidon

Title

Chief

Phone

(520) 456-1717

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Whetstone Fire District Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1154322980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2422 N FIREHOUSE LN",
            "city": "HUACHUCA CITY",
            "state": "AZ",
            "postal_code": "856169623",
            "telephone_number": "520-456-1717",
            "fax_number": "520-456-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 N FIREHOUSE LN",
            "city": "HUACHUCA CITY",
            "state": "AZ",
            "postal_code": "856169623",
            "telephone_number": "520-456-1717",
            "fax_number": "520-456-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHETSTONE FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "BIDON",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "520-456-1717"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AZ",
            "license": "119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590014505",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "605159200",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0151990",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "AY6585",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "396798",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whetstone Fire District Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pathway for Success
• Sarah Smeal
• Dolores Inez Smith, SLPA
• Therapeuo Health
• Elizabeth L Vath

• Land Ambulance in Huachuca City, AZ
• Providers in Huachuca City, 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 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.