Organization Active NPI

Sonoita-Elgin Fire District

  • Land Ambulance
  • Sonoita, AZ
National Provider Identifier
1609101302
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
132 Issued in AZ
Legal business name
SONOITA-ELGIN FIRE DISTRICT
Practice address
3173 N Highway 83
Sonoita, AZ 85637
Phone
(520) 455-5854
Fax
(520) 455-5361
NPI assigned
Oct 14, 2009
Last updated
May 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Mr. Marc Meredith
Title
Fire Chief
Phone
(520) 455-5854

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 132 AZ Primary

Addresses

Primary practice location

3173 N Highway 83
Sonoita, AZ 85637

Mailing address

3173 N Highway 83
Sonoita, AZ 85637-0322
Phone (520) 455-5854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100410000130 AZ Part B Supplier - Ambulance Service Supplier 1456487990 Practice locations: Sonoita, AZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1609101302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3173 N HIGHWAY 83",
            "city": "SONOITA",
            "state": "AZ",
            "postal_code": "856370322",
            "telephone_number": "520-455-5854",
            "fax_number": "520-455-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3173 N HIGHWAY 83",
            "city": "SONOITA",
            "state": "AZ",
            "postal_code": "85637",
            "telephone_number": "520-455-5854",
            "fax_number": "520-455-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONOITA-ELGIN FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "MEREDITH",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "520-455-5854",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AZ",
            "license": "132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonoita, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.