Sierra Vista Fry Fire District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

18 Issued in AZ

Legal business name

SIERRA VISTA FRY FIRE DISTRICT

Practice address

4817 S Apache Ave
Sierra Vista, AZ 85650

Phone

(520) 378-3276

Fax

(520) 378-0227

NPI assigned

Mar 20, 2006

Organization subpart

No

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

Authorized official

Name

Diana Jones, CAC

Title

Billing Supervisor

Phone

(520) 378-3276

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Sierra Vista Fry Fire District

  • Land Ambulance
  • Sierra Vista, AZ
  • NPI 1689285629
  NPPES parent name

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1679532535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4817 S APACHE AVE",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856509702",
            "telephone_number": "520-378-3276",
            "fax_number": "520-378-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4817 S APACHE AVE",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "85650",
            "telephone_number": "520-378-3276",
            "fax_number": "520-378-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA VISTA FRY FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "520-378-3276",
        "authorized_official_credential": "CAC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AZ",
            "license": "18",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071043-001",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sierra Vista Diagnostics LLC
• Sierra Vista Emergency Physicians
• Sierra Vista Endodontics P.C.
• Sierra Vista Eyecare P.C
• Sierra Vista Family Footcare PC
• Sierra Vista Fry Fire District
• Sierra Vista Group Anesthesia Services, LTD
• Sierra Vista Internal Medicine PLLC
• Sierra Vista Internal Medicine, PLLC
• Sierra Vista Medical Investors, LP

• Land Ambulance in Sierra Vista, AZ
• Providers in Sierra Vista, 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 24, 2020; 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.