Timber Mesa Fire and Medical District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TIMBER MESA FIRE AND MEDICAL DISTRICT

Practice address

2922 W White Mountain Blvd
Lakeside, AZ 85929-6152

Phone

(928) 537-5100

Fax

(928) 368-5643

NPI assigned

Aug 4, 2015

Organization subpart

No

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

Authorized official

Name

Randy Chevalier

Title

Fire Chief

Phone

(928) 537-5100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Tax ID family

Timber Mesa Fire and Medical District2 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.

• Timber Mesa Fire and Medical District

  • Ambulance
  • Show Low, AZ
  • NPI 1801425434
  NPD tax ID

Locations

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1194101808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3561 E DEUCE OF CLUBS",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859015268",
            "telephone_number": "928-537-5100",
            "fax_number": "928-368-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2922 W WHITE MOUNTAIN BLVD",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859296152",
            "telephone_number": "928-537-5100",
            "fax_number": "928-368-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBER MESA FIRE AND MEDICAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "CHEVALIER",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "928-537-5100"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093135",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Talbert, DPT
• Tall Pines Wellness
• Mary Tapia, FNP/CNM
• Linda Diane Teague, PA-C
• The Nurses Office
• Peter Trimboli
• Angela R Valentine, P.T., D.P.T.
• David L. Valentine, P.T., D.P.T.
• Laura L Vandenheede, M.D.
• VCG Arizona LLC

• Land Ambulance in Lakeside, AZ
• Providers in Lakeside, 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 30, 2024; 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.