Active NPI
Bullhead City Fire Department
- Land Ambulance
- Bullhead City, AZ
National Provider Identifier
1710071410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- EMS 2767
- Legal business name
- BULLHEAD CITY FIRE DEPARTMENT
- Practice address
- 1260 Hancock Rd
Bullhead City, AZ 86442-5906 - Phone
- (928) 758-3971
- Fax
- (928) 763-3297
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rick Southey, CHIEF
- Title
- Fire Chief
- Phone
- (928) 758-3971
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | EMS 2767 | AZ | Primary |
Addresses
Primary practice location
1260 Hancock Rd
Bullhead City, AZ 86442-5906
Mailing address
1260 Hancock Rd
Bullhead City, AZ 86442-5906
Phone (928) 758-3971
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070342 | Medicaid | AZ | |
| 3288705 | Medicaid | NV | |
| AZ0151570 | Other | AZ | BLUE CROSS/BLUE SHIELD |
| XMT004800 | Medicaid | CA | |
| 003288705 | Medicaid | NV | |
| AZBCF-SWT | Other | AZ | OTHER INSURANCE PROVIDERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091119000088 | AZ | Part B Supplier - Ambulance Service Supplier | 2668510215 | Practice locations: Bullhead City, AZ |
National Provider Directory
National Provider DirectoryLocations
1260 Hancock Rd
Bullhead City, AZ 86442
Phone (928) 758-3971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258934400000",
"number": "1710071410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1260 HANCOCK RD",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864425906",
"telephone_number": "928-758-3971",
"fax_number": "928-763-3297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 HANCOCK RD",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864425906",
"telephone_number": "928-758-3971",
"fax_number": "928-763-3297"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BULLHEAD CITY FIRE DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2009-11-23",
"status": "A",
"authorized_official_last_name": "SOUTHEY",
"authorized_official_first_name": "RICK",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "928-758-3971",
"authorized_official_credential": "CHIEF"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "AZ",
"license": "EMS 2767",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "070342",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3288705",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "AZ0151570",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XMT004800",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003288705",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER INSURANCE PROVIDERS",
"identifier": "AZBCF-SWT",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bullhead City, AZ
- Clayson J Bufton, RN, CRNA
- Bullhead City Clinic Corp
- Bullhead City Dentistry LLC
- Bullhead City Elementary
- Bullhead City Elementary School District
- Bullhead City Hospital Corporation
- Bullhead City Hospital Corporation
- Bullhead City Hospital Corporation
- Bullhead City Hospital Corporation
- Bullhead City Hospital Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.