Active NPI
Town of Gila Bend
Doing business as Gila Bend Rescue/Ambulance
- Ambulance
- Gila Bend, AZ
National Provider Identifier
1619954914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 78
- Legal business name
- TOWN OF GILA BEND
- Doing business as
- Gila Bend Rescue/Ambulance
- Practice address
- 644 W Pima
Gila Bend, AZ 85337 - Phone
- (928) 683-2255
- Fax
- (928) 683-6430
- NPI assigned
- Dec 28, 2005
- Last updated
- Dec 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arelia I Henry
- Title
- Chief
- Phone
- (602) 909-3644
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 78 | AZ | Primary |
Addresses
Primary practice location
644 W Pima
Gila Bend, AZ 85337
Mailing address
PO Box a
Gila Bend, AZ 85337-0019
Phone (928) 683-2255
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 071978 | Medicaid | AZ | |
| AZ0152460 | Other | AZ | BCBS |
| 590014287 | Other | AZ | RR MEDICARE |
Other names 1
- Gila Bend Rescue/Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181108001110 | AZ | Part B Supplier - Ambulance Service Supplier | 1759635881 | Practice locations: Gila Bend, AZ |
National Provider Directory
National Provider DirectoryLocations
644 W Pima St
Gila Bend, AZ 85337
Phone (928) 683-2255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703203200000",
"number": "1619954914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX A",
"city": "GILA BEND",
"state": "AZ",
"postal_code": "853370019",
"telephone_number": "928-683-2255",
"fax_number": "928-683-6430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "644 W PIMA",
"city": "GILA BEND",
"state": "AZ",
"postal_code": "85337",
"telephone_number": "928-683-2255",
"fax_number": "928-683-6430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF GILA BEND",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-28",
"last_updated": "2023-12-22",
"certification_date": "2023-12-22",
"status": "A",
"authorized_official_last_name": "HENRY",
"authorized_official_first_name": "ARELIA",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "602-909-3644"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "AZ",
"license": "78",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "071978",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "AZ0152460",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "590014287",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gila Bend Rescue/Ambulance",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Gila Bend Rescue/Ambulance",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Gila Bend, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.