Mayer Fire District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

CON # 117 / EMS 2900 Issued in AZ

Legal business name

MAYER FIRE DISTRICT

Practice address

11975 S. Hwy 69
Mayer, AZ 86333-0340

Phone

(928) 632-9534

Fax

(928) 632-7463

NPI assigned

Apr 21, 2006

Organization subpart

No

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

Authorized official

Name

Suzanne Owen

Title

Office Manager

Phone

(928) 632-9534

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mayer Fire District Ambulance 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": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1619933587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "MAYER",
            "state": "AZ",
            "postal_code": "863330340",
            "telephone_number": "928-632-9534",
            "fax_number": "928-632-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11975 S. HWY 69",
            "city": "MAYER",
            "state": "AZ",
            "postal_code": "863330340",
            "telephone_number": "928-632-9534",
            "fax_number": "928-632-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYER FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "928-632-9534"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AZ",
            "license": "CON # 117 / EMS 2900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311621",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mayer Fire District Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zena Anne Kimbrell
• Antoinette Josephine Leggitt
• Donald R Leggitt
• Jim Nester Loukola
• Sandra Lee Mattson Ebeltoft, ED.S.
• Mayer Unified School District
• Mayer Unified School District #43
• Meridith Paige McElroy, APRN, FNP-C
• Beverly G Neal, LPN
• Natalie Noel Oakley, FNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; 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.