Organization Active NPI

Pima Agency

  • Ambulance
  • Maricopa, AZ
National Provider Identifier
1710036405
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
PIMA AGENCY
Doing business as
Ak-Chin Fire Department
Practice address
45401 W Farrell Rd
Maricopa, AZ 85139-3828
Phone
(520) 568-1300
Fax
(520) 568-1301
NPI assigned
Jan 10, 2007
Organization subpart
Yes
Parent organization
PIMA AGENCYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Authorized official

Name
Michael R Long
Title
Fire Chief
Phone
(520) 568-1316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X AZ Primary

Addresses

Primary practice location

45401 W Farrell Rd
Maricopa, AZ 85139-3828

Mailing address

45401 W Farrell Rd
Maricopa, AZ 85139-3828
Phone (520) 568-1300

Other identifiers 1

IdentifierTypeStateIssuer
150178MedicaidAZ

Other names 1

  • Ak-Chin Fire Department Doing business as

National Provider Directory

National Provider Directory
Part of
Ak-Chin Fire Department

Locations

45401 W Farrell Rd
Maricopa, AZ 85139
Phone (520) 568-1300

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1710036405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45401 W FARRELL RD",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851393828",
            "telephone_number": "520-568-1300",
            "fax_number": "520-568-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45401 W FARRELL RD",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851393828",
            "telephone_number": "520-568-1300",
            "fax_number": "520-568-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIMA AGENCY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIMA AGENCY",
        "enumeration_date": "2007-01-10",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "520-568-1316"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150178",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ak-Chin Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maricopa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.