Active NPI
City of San Luis Arizona
Doing business as City Of San Luis Fire Department
- Land Ambulance
- San Luis, AZ
National Provider Identifier
1811360365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 142
- Legal business name
- CITY OF SAN LUIS ARIZONA
- Doing business as
- City Of San Luis Fire Department
- Practice address
- 1165 North McCain Avenue
San Luis, AZ 85349-0445 - Phone
- (928) 341-8550
- Fax
- (928) 627-1426
- NPI assigned
- Nov 5, 2015
- Last updated
- Aug 6, 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
- Mrs. Roula Jouanne de Encinas
- Title
- Director of Finance
- Phone
- (928) 341-8534
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 142 | AZ | Primary |
Addresses
Primary practice location
1165 North McCain Avenue
San Luis, AZ 85349-0445
Mailing address
PO Box 7740
San Luis, AZ 85349-6816
Phone (928) 341-8542
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142 | Other | AZ | CERTIFICATE OF NECESSITY |
Other names 1
- City Of San Luis Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160225002084 | AZ | Part B Supplier - Ambulance Service Supplier | 6406151695 | Practice locations: San Luis, AZ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785974400000",
"number": "1811360365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7740",
"city": "SAN LUIS",
"state": "AZ",
"postal_code": "853496816",
"telephone_number": "928-341-8542",
"fax_number": "928-341-8549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1165 NORTH MCCAIN AVENUE",
"city": "SAN LUIS",
"state": "AZ",
"postal_code": "853490445",
"telephone_number": "928-341-8550",
"fax_number": "928-627-1426"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF SAN LUIS ARIZONA",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-05",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A",
"authorized_official_last_name": "JOUANNE DE ENCINAS",
"authorized_official_first_name": "ROULA",
"authorized_official_title_or_position": "DIRECTOR OF FINANCE",
"authorized_official_telephone_number": "928-341-8534",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "AZ",
"license": "142",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFICATE OF NECESSITY",
"identifier": "142",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "City Of San Luis Fire Department",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "City Of San Luis Fire Department",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in San Luis, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.