Organization Active NPI

City of Somerton

Doing business as Somerton EMS & Ambulance

  • Land Ambulance
  • Somerton, AZ
National Provider Identifier
1649301169
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF SOMERTON
Doing business as
Somerton EMS & Ambulance
Practice address
445 E Main St
Somerton, AZ 85350
Phone
(928) 722-7376
Fax
(928) 722-7315
NPI assigned
Mar 8, 2007
Last updated
Apr 22, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
CITY OF SOMERTONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Authorized official

Name
Mr. Paul J Deanda
Title
Fire Chief
Phone
(928) 722-7373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

445 E Main St
Somerton, AZ 85350

Mailing address

PO Box 638
Somerton, AZ 85350
Phone (928) 722-7376

Other identifiers 1

IdentifierTypeStateIssuer
071259OtherAZAHCCCS

Other names 1

  • Somerton EMS & Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120223001005 AZ Part B Supplier - Ambulance Service Supplier 6800054644 Practice locations: Somerton, AZ

National Provider Directory

National Provider Directory
Tax ID family
City of Somerton2 organizations share this tax ID, including this one
Part of
City of Somerton

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1649301169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638",
            "city": "SOMERTON",
            "state": "AZ",
            "postal_code": "85350",
            "telephone_number": "928-722-7376",
            "fax_number": "928-722-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 E MAIN ST",
            "city": "SOMERTON",
            "state": "AZ",
            "postal_code": "85350",
            "telephone_number": "928-722-7376",
            "fax_number": "928-722-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SOMERTON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF SOMERTON",
        "enumeration_date": "2007-03-08",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "DEANDA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "928-722-7373",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "071259",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Somerton EMS & Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerton, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.