Pinetop Volunteer Fire District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

96 Issued in AZ

Legal business name

PINETOP VOLUNTEER FIRE DISTRICT

Practice address

1845 S Pine Lake Rd
Pinetop, AZ 85935-8064

Phone

(928) 367-2199

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Robynn Leigh Longenbaugh

Title

Accounts Receivable Manager

Phone

(928) 368-6799

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334620800000",
    "number": "1205985298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 S PINE LAKE RD",
            "city": "PINETOP",
            "state": "AZ",
            "postal_code": "859358064",
            "telephone_number": "928-367-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 S PINE LAKE RD",
            "city": "PINETOP",
            "state": "AZ",
            "postal_code": "859358064",
            "telephone_number": "928-367-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINETOP VOLUNTEER FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2012-04-17",
        "status": "A",
        "authorized_official_last_name": "LONGENBAUGH",
        "authorized_official_first_name": "ROBYNN",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE MANAGER",
        "authorized_official_telephone_number": "928-368-6799"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AZ",
            "license": "96",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "072710",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mayra Patricia Morales
• Thomas Samuel Paxman, DO
• Pinetop Behavioral Health LLC
• Pinetop Medical Associates LTD (Blue Ridge Regional Clinic)
• Pinetop Treatment Center LLC
• R Alan Lee OD PC
• Patricia M Rafferty, OTR/L
• Re Centers of Arizona Inc
• Regina Ross, MD, PC
• Fain Richardson

• Land Ambulance in Pinetop, AZ
• Providers in Pinetop, AZ by specialty
• Land Ambulance in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.