Active NPI
City of St.Johns
- Land Ambulance
- St Johns, AZ
National Provider Identifier
1689611238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CITY OF ST.JOHNS
- Practice address
- 375 S. Washington
St Johns, AZ 85936 - Phone
- (928) 337-3070
- Fax
- (928) 337-4786
- NPI assigned
- Jun 1, 2006
- Organization subpart
- Yes
- Parent organization
- CITY OF ST. JOHNS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy M Bigelow
- Title
- Finance Director / City Clerk
- Phone
- (928) 337-4517
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
375 S. Washington
St Johns, AZ 85936
Mailing address
PO Box 455
St Johns, AZ 85936-0455
Phone (928) 337-4517
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 907030S7 | Medicaid | NM | |
| 0702S1 | Medicaid | AZ |
Other names 1
- St. Johns Emergency Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120223001007 | AZ | Part B Supplier - Ambulance Service Supplier | 7618135450 | Practice locations: St Johns, AZ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217462400000",
"number": "1689611238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 455",
"city": "ST JOHNS",
"state": "AZ",
"postal_code": "859360455",
"telephone_number": "928-337-4517",
"fax_number": "928-337-2195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 S. WASHINGTON",
"city": "ST JOHNS",
"state": "AZ",
"postal_code": "85936",
"telephone_number": "928-337-3070",
"fax_number": "928-337-4786"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF ST.JOHNS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CITY OF ST. JOHNS",
"enumeration_date": "2006-06-01",
"last_updated": "2008-07-31",
"status": "A",
"authorized_official_last_name": "BIGELOW",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "FINANCE DIRECTOR / CITY CLERK",
"authorized_official_telephone_number": "928-337-4517"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "907030S7",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0702S1",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "St. Johns Emergency Services",
"code": "5",
"type": "Other Name"
}
]
}Other providers in St Johns, AZ
- Apache County Public Health Services
- Richie Patterson Bast, M.D.
- Black Ridge Physical Therapy, PLC
- Jenne K Brdlik, LMSW
- Frances Marie Buttrey, M.ED. ,SLPL
- Clever Transit LLC
- Harry Shelton Cole Jr., LMFT
- Community Awareness Resource Entity of Arizona
- Community Bridges, Inc.
- Marvin Cabilangan Depas, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.