Organization Active NPI

Town of Queen Creek

Doing business as Queen Creek Fire & Medical Department

  • Ambulance
  • Queen Creek, AZ
National Provider Identifier
1770945594
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
G532HG Issued in AZ
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

Updated by the provider on Jan 30, 2026

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160418001439 AZ Part B Supplier - Ambulance Service Supplier 3274831797 Practice locations: Queen Creek, AZ

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.