Active NPI
Town of Queen Creek
Doing business as Queen Creek Fire & Medical Department
- Ambulance
- Queen Creek, AZ
National Provider Identifier
1770945594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- G532HG
- Legal business name
- TOWN OF QUEEN CREEK
- Doing business as
- Queen Creek Fire & Medical Department
- Practice address
- 22358 S Ellsworth Rd
Queen Creek, AZ 85142-9311 - Phone
- (480) 358-3372
- NPI assigned
- Mar 22, 2016
- 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
- Vance Gray
- Title
- Deputy Fire Chief
- Phone
- (480) 358-3372
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | G532HG | AZ | Primary |
Addresses
Primary practice location
22358 S Ellsworth Rd
Queen Creek, AZ 85142-9311
Mailing address
22358 S Ellsworth Rd
Queen Creek, AZ 85142-9311
Phone (480) 358-3372
Other names 1
- Queen Creek Fire & Medical Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160418001439 | AZ | Part B Supplier - Ambulance Service Supplier | 3274831797 | Practice locations: Queen Creek, AZ |
National Provider Directory
National Provider DirectoryLocations
24787 S Sossaman Rd
Queen Creek, AZ 85142
Phone (480) 358-3412
22358 S Ellsworth Rd
Queen Creek, AZ 85142
Phone (480) 358-3372
22407 S Ellsworth Rd
Queen Creek, AZ 85142
Phone (480) 358-3372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769731200000",
"number": "1770945594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22358 S ELLSWORTH RD",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851429311",
"telephone_number": "480-358-3372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22358 S ELLSWORTH RD",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851429311",
"telephone_number": "480-358-3372"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF QUEEN CREEK",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-22",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A",
"authorized_official_last_name": "GRAY",
"authorized_official_first_name": "VANCE",
"authorized_official_title_or_position": "DEPUTY FIRE CHIEF",
"authorized_official_telephone_number": "480-358-3372"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "AZ",
"license": "G532HG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Queen Creek Fire & Medical Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Queen Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.