Organization Active NPI

Sedona Fire District

  • Land Ambulance
  • Sedona, AZ
National Provider Identifier
1750349221
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
SEDONA FIRE DISTRICT
Practice address
2860 Southwest Dr
Sedona, AZ 86336-3728
Phone
(928) 282-6800
Fax
(928) 282-6857
NPI assigned
May 3, 2006
Last updated
Dec 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Authorized official

Name
Ed Mezulis
Title
Fire Chief
Phone
(928) 204-8924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X AZ Primary

Addresses

Primary practice location

2860 Southwest Dr
Sedona, AZ 86336-3728

Mailing address

PO Box 9150
Paducah, KY 42002-9150
Phone (270) 744-8413

Other identifiers 4

IdentifierTypeStateIssuer
RR59001498OtherAZMEDICARE RR
390302MedicaidAZ
AZ0151860OtherAZBCBS OF AZ
18348400OtherAZUS DEPT LABOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070305000419 AZ Part B Supplier - Ambulance Service Supplier 5395848782 Practice locations: Sedona, AZ

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1031152Sedona Fire District2860 Southwest Drive, Sedona, AZ 86336Certificate of waiverSep 23, 2026

National Provider Directory

National Provider Directory

Locations

2860 Southwest Dr
Sedona, AZ 86336
Phone (928) 204-8923

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1750349221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9150",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420029150",
            "telephone_number": "270-744-8413",
            "fax_number": "270-744-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 SOUTHWEST DR",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863363728",
            "telephone_number": "928-282-6800",
            "fax_number": "928-282-6857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDONA FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "MEZULIS",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "928-204-8924"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "RR59001498",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390302",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AZ",
            "identifier": "AZ0151860",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT LABOR",
            "identifier": "18348400",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedona, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.