City of Douglas

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

EMS 2515 Issued in AZ

Legal business name

CITY OF DOUGLAS

Doing business as

City of Douglas Fire and Ambulance

Practice address

1400 E 10TH St
Douglas, AZ 85607-2308

Phone

(520) 364-2481

Fax

(520) 364-5261

NPI assigned

Jun 2, 2006

Last updated

Dec 17, 2019By 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

Mr. Luis Pedroza

Title

Finance Director

Phone

(520) 419-7319

Specialties & licenses 1

Addresses

Other names 1

• City of Douglas Fire and Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1619914033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 10TH STREET",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "856072308",
            "telephone_number": "520-364-2481",
            "fax_number": "520-364-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E 10TH ST",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "856072308",
            "telephone_number": "520-364-2481",
            "fax_number": "520-364-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF DOUGLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "PEDROZA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "520-419-7319",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AZ",
            "license": "EMS 2515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Douglas Fire and Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "City of Douglas Fire and Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chiricahua Community Health Centers, Inc
• Chiricahua Community Health Centers, Inc (Early Childhood Center of Excellance)
• Chiricahua Community Health Centers, Inc (Business Office)
• Chiricahua Community Health Centers, Inc. (Chiricahua Douglas Pharmacy)
• Russell L Christopher Jr., M.D.
• Community Health Care of Douglas (Southeast Arizona Medical Center)
• Community Healthcare of Douglas (Southeast Arizona Medical Center)
• Community Healthcare of Douglas Inc (SAMC Clinic)
• Community Healthcare of Douglas Inc
• Community Healthcare of Douglas Inc (southeast arizona medical center)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.