City of Peoria

Primary specialty

AmbulanceTaxonomy code 341600000X

License

146 Issued in AZ

Legal business name

CITY OF PEORIA

Doing business as

Peoria Fire Medical Department

Practice address

8351 W Cinnabar Ave
Attn: Fire-Medical Department
Peoria, AZ 85345-2701

Phone

(623) 773-7279

Fax

(623) 773-7295

NPI assigned

Jul 26, 2016

Last updated

May 5, 2021By 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

Gary L Bernard, OA

Title

Deputy Chief of EMS

Phone

(623) 773-7911

Specialties & licenses 1

Addresses

Other names 1

• Peoria Fire Medical Department Doing business as

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": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1336692342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 W MONROE ST",
            "address_2": "ATTN: FIRE-MEDICAL DEPARTMENT",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853456560",
            "telephone_number": "623-773-7279",
            "fax_number": "623-773-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8351 W CINNABAR AVE",
            "address_2": "ATTN: FIRE-MEDICAL DEPARTMENT",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853452701",
            "telephone_number": "623-773-7279",
            "fax_number": "623-773-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PEORIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2021-05-05",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "BERNARD",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DEPUTY CHIEF OF EMS",
        "authorized_official_telephone_number": "623-773-7911",
        "authorized_official_credential": "OA"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AZ",
            "license": "146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peoria Fire Medical Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cigna Healthcare of Arizona, Inc. (Arrowhead Ranch Medical Office; Arrowhead Ranch)
• Cigna Healthcare of Az (EVERNORTH Care Group Sun City Urgent Care)
• Cindy L. Tatum, CSMW, Inc. (CLTatum & Associates)
• Jenna Ciolac, PHARM D
• Jacquelinne Cisneros
• City Wide Transportation
• Keshia Clardy
• Classic Care Pediatrics LLC
• Megan Claudio
• Tyler Clayton, LPN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.