Timber Mesa Fire and Medical District

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

TIMBER MESA FIRE AND MEDICAL DISTRICT

Practice address

3561 E Deuce of Clubs
Show Low, AZ 85901-5329

Phone

(928) 537-5100

NPI assigned

Apr 6, 2020

Organization subpart

No

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

Authorized official

Name

Deanna Dee Reed, CAC

Title

Finance Clerk

Phone

(928) 531-5700

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

CLIA laboratory certificates

Tax ID family

Timber Mesa Fire and Medical District2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Timber Mesa Fire and Medical District

  • Land Ambulance
  • Lakeside, AZ
  • NPI 1194101808
  NPD tax ID

Locations

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1801425434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3561 E DEUCE OF CLUBS",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859015329",
            "telephone_number": "928-537-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3561 E DEUCE OF CLUBS",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859015329",
            "telephone_number": "928-537-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4029 Buckskin",
            "address_purpose": "LOCATION",
            "city": "Show Low",
            "state": "AZ",
            "postal_code": "85901",
            "country_code": "US",
            "telephone_number": "928-537-5100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 N 6th St",
            "address_purpose": "LOCATION",
            "city": "Show Low",
            "state": "AZ",
            "postal_code": "859015007",
            "country_code": "US",
            "telephone_number": "928-537-5100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6884 Arizona Highway 260",
            "address_purpose": "LOCATION",
            "city": "Show Low",
            "state": "AZ",
            "postal_code": "859018284",
            "country_code": "US",
            "telephone_number": "928-537-5100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1780 Silver Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "White Mountain Lake",
            "state": "AZ",
            "postal_code": "86912",
            "country_code": "US",
            "telephone_number": "928-537-5100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2922 W White Mountain Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakeside",
            "state": "AZ",
            "postal_code": "859296152",
            "country_code": "US",
            "telephone_number": "928-537-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TIMBER MESA FIRE AND MEDICAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "FINANCE CLERK",
        "authorized_official_telephone_number": "928-531-5700",
        "authorized_official_credential": "CAC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093135",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "timbermesafire.org",
            "affiliation": "N",
            "endpointDescription": "Data Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3561 E Deuce Of Clubs",
            "city": "Show Low",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "859015329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Becky Ann Thompson, MD
• Steven M Thompson, MD
• Trent Thompson
• Michael Edward Tieman, M.D.
• Timber Medical and Pain Center PLLC
• Rhonda Michelle Tinkham, RRT
• TLC Supported Living Services of Az, Inc
• Stacy Anne Townsend, CRNA
• Cameron Tregaskes, D.O.
• True Diabetes Neuropathy & Wound Solutions Az LLC

• All providers in Show Low, AZ
• Ambulance in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.