Active NPI
Central Arizona Fire and Medical Authority
- Land Ambulance
- Prescott Valley, AZ
National Provider Identifier
1780426411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CENTRAL ARIZONA FIRE AND MEDICAL AUTHORITY
- Practice address
- 8603 E Eastridge Rd
Prescott Valley, AZ 86314-8562 - Phone
- (928) 772-7711
- Fax
- (928) 772-8800
- NPI assigned
- Jun 12, 2024
- 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
- Mr. Lee Barnes
- Title
- Assistant Fire Chief
- Phone
- (928) 772-7711
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
8603 E Eastridge Rd
Prescott Valley, AZ 86314-8562
Mailing address
8603 E Eastridge Rd
Prescott Valley, AZ 86314-8562
Phone (928) 772-7711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241217001641 | AZ | Part B Supplier - Ambulance Service Supplier | 4688101512 | Practice locations: Chino Valley, AZ; Prescott Valley, AZ; Prescott, AZ; Paulden, AZ; Dewey, AZ |
National Provider Directory
National Provider DirectoryLocations
1133 W Road 3 N
Chino Valley, AZ 86323
730 E Road 2 S
Chino Valley, AZ 86323
13155 E State Route 169
Dewey, AZ 86327
250 W Sweet Valley Rd
Paulden, AZ 86334
1700 W Iron Springs Rd
Prescott, AZ 86305
8555 E Yavapai Rd
Prescott Valley, AZ 86314
8603 E Eastridge Rd
Prescott Vly, AZ 86314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718150400000",
"number": "1780426411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8603 E EASTRIDGE RD",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863148562",
"telephone_number": "928-772-7711",
"fax_number": "928-772-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8603 E EASTRIDGE RD",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863148562",
"telephone_number": "928-772-7711",
"fax_number": "928-772-8800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL ARIZONA FIRE AND MEDICAL AUTHORITY",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-12",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A",
"authorized_official_last_name": "BARNES",
"authorized_official_first_name": "LEE",
"authorized_official_title_or_position": "ASSISTANT FIRE CHIEF",
"authorized_official_telephone_number": "928-772-7711",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.