Active NPI
Pinewood Fire District
- Ambulance
- Munds Park, AZ
National Provider Identifier
1194790782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- PINEWOOD FIRE DISTRICT
- Practice address
- 475 East Pinewood Boulevard
Munds Park, AZ 86017-8638 - Phone
- (928) 286-9885
- Fax
- (928) 286-2595
- NPI assigned
- Feb 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mindy Mohler
- Title
- Office Manager
- Phone
- (928) 286-9885
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
475 East Pinewood Boulevard
Munds Park, AZ 86017-8638
Mailing address
PO Box 18638
Munds Park, AZ 86017-8638
Phone (928) 286-9885
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0151380 | Other | AZ | BCBS |
| 113879001 | Medicaid | AZ | |
| ZRGAAB | Other | AZ | MEDICARE ID-PIN |
| 87265 | Other | AZ | BENESIGHT |
| 1Z6659 | Other | AZ | HEALTHNET |
| 590008390 | Other | AZ | MEDICARE PALMETTO R/R |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101215000683 | AZ | Part B Supplier - Ambulance Service Supplier | 5799972873 | Practice locations: Munds Park, AZ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1513900800000",
"number": "1194790782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18638",
"city": "MUNDS PARK",
"state": "AZ",
"postal_code": "860178638",
"telephone_number": "928-286-9885",
"fax_number": "928-286-2595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 EAST PINEWOOD BOULEVARD",
"city": "MUNDS PARK",
"state": "AZ",
"postal_code": "860178638",
"telephone_number": "928-286-9885",
"fax_number": "928-286-2595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINEWOOD FIRE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-17",
"last_updated": "2017-12-22",
"status": "A",
"authorized_official_last_name": "MOHLER",
"authorized_official_first_name": "MINDY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "928-286-9885"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "AZ0151380",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113879001",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID-PIN",
"identifier": "ZRGAAB",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BENESIGHT",
"identifier": "87265",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "1Z6659",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PALMETTO R/R",
"identifier": "590008390",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Munds Park, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2017; 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.