Tubac Fire District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

CON #6 Issued in AZ

Legal business name

TUBAC FIRE DISTRICT

Practice address

2227 E. Frontage Rd.
Tubac, AZ 85646

Phone

(520) 398-2255

Fax

(520) 398-2933

NPI assigned

Apr 20, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Brenda Holbrook

Title

Chief Financial Officer

Phone

(520) 398-2255

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Tax ID family

Tubac Fire 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.

• Tubac Fire District

  • Land Ambulance
  • Tubac, AZ
  • NPI 1124647532
  NPD tax ID

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1407811318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2881",
            "city": "TUBAC",
            "state": "AZ",
            "postal_code": "856462881",
            "telephone_number": "520-398-2255",
            "fax_number": "520-398-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 E. FRONTAGE RD.",
            "city": "TUBAC",
            "state": "AZ",
            "postal_code": "85646",
            "telephone_number": "520-398-2255",
            "fax_number": "520-398-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUBAC FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "HOLBROOK",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "520-398-2255",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AZ",
            "license": "CON #6",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PR1011 TRAIL BLAZER HE",
            "identifier": "AZ0000D100314",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "348153",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACH/HEALTH NET",
            "identifier": "AY6472",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS/HEALTH NET SENIOR",
            "identifier": "AY6472",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ARIZONA",
            "identifier": "AZ0152290",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINISTRATIVE ENTERPRISE",
            "identifier": "590014166",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Tubac Fire District
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• Land Ambulance in Tubac, AZ
• Providers in Tubac, AZ by specialty
• Land Ambulance in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.