Camp Verde Fire District

Primary specialty

AmbulanceTaxonomy code 341600000X

License

25 EMS 3016 Issued in AZ

Legal business name

CAMP VERDE FIRE DISTRICT

Practice address

26 B Salt Mine Road
Camp Verde, AZ 86322

Phone

(928) 567-9401

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Jack Blum

Title

Cfo

Phone

(928) 567-9401

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1851432603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1637",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863261637",
            "telephone_number": "928-634-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 B SALT MINE ROAD",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "86322",
            "telephone_number": "928-567-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMP VERDE FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "928-567-9401"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AZ",
            "license": "25 EMS 3016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "451542",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Jo Bruner, ARDMS
• Bernadine Bunt, PHARMD
• Martha Leticia Caballero-Monrreal
• Camp Verde Family Chiropractic & Wellness Center Inc.
• Camp Verde Family Health LLC
• Camp Verde Physical Rehabiltation
• Camp Verde Unified School District #28
• David E Castillo, PT, MPT, AT/L
• Sonia Maria Castrita
• Central Arizona Sports and Physical Therapy, LLC (Central Arizona Sports and Physical Therapy)

• Ambulance in Camp Verde, AZ
• Providers in Camp Verde, AZ by specialty
• Ambulance in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.