Organization Active NPI

Tri City Fire District/Ambulance

Doing business as Tri City Fire District Ambulance Service

  • Ambulance
  • Claypool, AZ
National Provider Identifier
1801873104
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
126 Issued in AZ
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00033704OtherAZRR MEDICARE
AZ0151790OtherAZBCBS
748717MedicaidAZ

Other names 1

  • Tri City Fire District Ambulance Service Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040421001813 AZ Part B Supplier - Ambulance Service Supplier 0345236766 Practice locations: Claypool, AZ

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.