Organization Active NPI

Central Arizona Fire and Medical Authority

  • Land Ambulance
  • Prescott Valley, AZ
National Provider Identifier
1780426411
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Jun 12, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

Verify at the official NPI Registry.