Town of Kearny

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

23 Issued in AZ

Legal business name

TOWN OF KEARNY

Doing business as

Kearny Ambulance

Practice address

375 Alden Rd
Kearny, AZ 85237-9900

Phone

(520) 363-5566

Fax

(520) 363-5321

NPI assigned

Sep 8, 2005

Last updated

Jun 16, 2008By 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 A Eide

Title

Town Manager

Phone

(520) 363-5547

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kearny Ambulance Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1407840176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639",
            "city": "KEARNY",
            "state": "AZ",
            "postal_code": "852370639",
            "telephone_number": "520-363-5547",
            "fax_number": "520-363-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 ALDEN RD",
            "city": "KEARNY",
            "state": "AZ",
            "postal_code": "852379900",
            "telephone_number": "520-363-5566",
            "fax_number": "520-363-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF KEARNY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "EIDE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "TOWN MANAGER",
        "authorized_official_telephone_number": "520-363-5547"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AZ",
            "license": "23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070748",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kearny Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.