City of Surprise

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

TRN: 17-002 Issued in AZ

Legal business name

CITY OF SURPRISE

Doing business as

City of Surprise Fire - Treat & Refer

Practice address

14250 W Statler PLZ Ste 101
Surprise, AZ 85374-7474

Phone

(623) 222-5000

NPI assigned

Mar 1, 2017

Last updated

Mar 15, 2021By 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

Tom Abbott

Title

Director

Phone

(623) 222-5000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• City of Surprise Fire - Treat & Refer Doing business as
• Surprise Fire-Medical Department Other name

Tax ID family

City of Surprise2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• City of Surprise

  dba City of Surprise Fire - Medical Department

  • Land Ambulance
  • Surprise, AZ
  • NPI 1194110791
  NPD tax ID

Locations

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1649710328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT #880156 PO BOX 29650",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389650",
            "telephone_number": "623-222-1000",
            "fax_number": "623-222-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14250 W STATLER PLZ STE 101",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747474",
            "telephone_number": "623-222-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SURPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "623-222-5000"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "AZ",
            "license": "TRN: 17-002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "237326",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Surprise Fire - Treat & Refer",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Surprise Fire-Medical Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Katie Marie Cinader
• Iliriana Ciraku, M.D.
• Circle Mountain Counseling, LLC
• Ivonne Nino Cisneros
• City of Surprise (City of Surprise Fire - Medical Department)
• Michael Patrick Ciurro
• William Paul Clafshenkel, PHARMD
• Lindsay R Clanagan, MS, LAC
• Michelle Diocampo Claricia, PA-C
• Casondra Clark

• Community Health Clinic/Center in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Community Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.