Beaver Dam Littlefield Fire District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

124 Issued in AZ

Legal business name

BEAVER DAM LITTLEFIELD FIRE DISTRICT

Practice address

630 N Hwy 91
Littlefield, AZ 86432-0579

Phone

(928) 347-5114

Fax

(928) 347-5273

NPI assigned

Jun 30, 2005

Last updated

Apr 29, 2026By 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

Andres Ojeda

Title

Assistant Fire Chief

Phone

(928) 347-5114

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Beaver Dam Ambulance Other name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1700883113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2356",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863222356",
            "telephone_number": "928-347-5114",
            "fax_number": "928-347-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N HWY 91",
            "city": "LITTLEFIELD",
            "state": "AZ",
            "postal_code": "864320579",
            "telephone_number": "928-347-5114",
            "fax_number": "928-347-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVER DAM LITTLEFIELD FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "OJEDA",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "ASSISTANT FIRE CHIEF",
        "authorized_official_telephone_number": "928-347-5114"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AZ",
            "license": "124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "(EIN)-001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00371415",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "747173",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaver Dam Ambulance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephen M Adam, DMD
• Wendie G Black, MA
• James Alton Callis Jr., PA-C
• Alejandra Camacho, RDH
• Canyonlands Community Health Care (Canyonlands Health Care - Beaver Dam)
• Lacey Bennett Celani, NP

• Land Ambulance in Littlefield, AZ
• Providers in Littlefield, 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 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.