City of Casa Grande

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

CITY OF CASA GRANDE

Doing business as

Casa Grande Fire Department

Practice address

377 E Val Vista Blvd
Casa Grande, AZ 85122-6900

Phone

(520) 421-8777

Fax

(520) 836-1129

NPI assigned

Aug 24, 2022

Last updated

Aug 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dave Kean

Title

Fire Chief

Phone

(520) 421-8777

Specialties & licenses 1

Addresses

Other names 1

• Casa Grande Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1801515614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 E VAL VISTA BLVD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851226900",
            "telephone_number": "520-421-8777",
            "fax_number": "520-836-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 E VAL VISTA BLVD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851226900",
            "telephone_number": "520-421-8777",
            "fax_number": "520-836-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CASA GRANDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "KEAN",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "520-421-8777"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa Grande Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Casa Grande Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shreya Paresh Chollera
• Andrew Chun
• Daniel Chung, M.D.
• Cimmaron Ash Behavioral Healthcare
• Citrus Canyon Care
• Eleanor Ann Clark, M.D.
• Ginger K Clark, RPH
• Letoia Clark, PHARMD
• Poarche' Clark
• Clement Holdings

• Ambulance in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Ambulance in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.