Organization Active NPI

Rio Verde Fire District

  • Ambulance
  • Rio Verde, AZ
National Provider Identifier
1154795086
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
143 Issued in AZ
Legal business name
RIO VERDE FIRE DISTRICT
Practice address
25608 N Forest Rd
Rio Verde, AZ 85263-8136
Phone
(480) 471-2304
Fax
(480) 471-1821
NPI assigned
Nov 16, 2015
Last updated
Nov 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Authorized official

Name
Gary Bradbury
Title
Fire Chief
Phone
(480) 471-2304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 143 AZ Primary

Addresses

Primary practice location

25608 N Forest Rd
Rio Verde, AZ 85263-8136

Mailing address

25608 N Forest Rd
Rio Verde, AZ 85263-8136
Phone (480) 471-2304

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160517002188 AZ Part B Supplier - Ambulance Service Supplier 7810286655 Practice locations: Rio Verde, AZ

National Provider Directory

National Provider Directory

Locations

25608 N Forest Rd
Rio Verde, AZ 85263
Phone (480) 471-2304

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1154795086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25608 N FOREST RD",
            "city": "RIO VERDE",
            "state": "AZ",
            "postal_code": "852638136",
            "telephone_number": "480-471-2304",
            "fax_number": "480-471-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25608 N FOREST RD",
            "city": "RIO VERDE",
            "state": "AZ",
            "postal_code": "852638136",
            "telephone_number": "480-471-2304",
            "fax_number": "480-471-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO VERDE FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "BRADBURY",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "480-471-2304"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AZ",
            "license": "143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Verde, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.