Active NPI
Tri City Fire District/Ambulance
Doing business as Tri City Fire District Ambulance Service
- Ambulance
- Claypool, AZ
National Provider Identifier
1801873104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 126
- Legal business name
- TRI CITY FIRE DISTRICT/AMBULANCE
- Doing business as
- Tri City Fire District Ambulance Service
- Practice address
- 4280 E Broadway
Claypool, AZ 85532 - Phone
- (928) 473-2362
- Fax
- (928) 473-2991
- NPI assigned
- Dec 28, 2005
- Last updated
- Apr 10, 2026
- 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
- Anthony Carmen Grainger
- Title
- Fire Chief
- Phone
- (928) 425-0815
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 126 | AZ | Primary |
Addresses
Primary practice location
4280 E Broadway
Claypool, AZ 85532
Mailing address
PO Box 63068
Phoenix, AZ 85082-3068
Phone (602) 437-1431
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00033704 | Other | AZ | RR MEDICARE |
| AZ0151790 | Other | AZ | BCBS |
| 748717 | Medicaid | AZ |
Other names 1
- Tri City Fire District Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040421001813 | AZ | Part B Supplier - Ambulance Service Supplier | 0345236766 | Practice locations: Claypool, AZ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775779200000",
"number": "1801873104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 63068",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850823068",
"telephone_number": "602-437-1431",
"fax_number": "602-437-8436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4280 E BROADWAY",
"city": "CLAYPOOL",
"state": "AZ",
"postal_code": "85532",
"telephone_number": "928-473-2362",
"fax_number": "928-473-2991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI CITY FIRE DISTRICT/AMBULANCE",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-28",
"last_updated": "2026-04-10",
"certification_date": "2026-04-10",
"status": "A",
"authorized_official_last_name": "GRAINGER",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "CARMEN",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "928-425-0815"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "AZ",
"license": "126",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00033704",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "AZ0151790",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "748717",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tri City Fire District Ambulance Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Claypool, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.