Golden Shores Fire Department

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

GOLDEN SHORES FIRE DEPARTMENT

Practice address

12950 Oatman Hwy
Topock, AZ 86436

Phone

(928) 768-4546

Fax

(928) 768-4544

NPI assigned

Nov 24, 2006

Last updated

Oct 17, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Robey Lynn Betts

Title

Secretary Treasurer

Phone

(928) 768-4546

Specialties & licenses 1

Addresses

Other names 1

• GOLDEN SHORES VOLUNTEER FIRE Other name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1265508105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66",
            "city": "TOPOCK",
            "state": "AZ",
            "postal_code": "864360066",
            "telephone_number": "928-768-4546",
            "fax_number": "928-768-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12950 OATMAN HWY",
            "city": "TOPOCK",
            "state": "AZ",
            "postal_code": "86436",
            "telephone_number": "928-768-4546",
            "fax_number": "928-768-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN SHORES FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "BETTS",
        "authorized_official_first_name": "ROBEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "928-768-4546",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOLDEN SHORES VOLUNTEER FIRE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elite Mobile Transportation LLC
• Topock Elementary School

• Ambulance in Topock, AZ
• Providers in Topock, AZ by specialty
• Ambulance in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.