Copper Canyon Fire & Medical District

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

COPPER CANYON FIRE & MEDICAL DISTRICT

Practice address

494 S Main St
Camp Verde, AZ 86322-7256

Phone

(928) 567-9401

Fax

(928) 567-3919

NPI assigned

Nov 28, 2018

Organization subpart

No

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

Authorized official

Name

Terry Keller

Title

Fire Chief

Phone

(928) 567-9401

Specialties & licenses 1

Addresses

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": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1861962367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1543",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863221543",
            "telephone_number": "928-567-9401",
            "fax_number": "928-567-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 S MAIN ST",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863227256",
            "telephone_number": "928-567-9401",
            "fax_number": "928-567-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER CANYON FIRE & MEDICAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "928-567-9401"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Arizona Therapy LLC (Central AZ Therapy)
• Charlotte Anne Chase, PHD
• Kegan Jordan Coplan, PHARMD
• Copper Canyon Family Dental
• Copper Canyon Family Health Center
• Copper Canyon Fire and Medical Authority
• Michael Costa, PHARMD
• Crosswinds Physical Therapy LLC
• Lynne M. Dapsis, RN.
• Leonia Davis

• 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 Jul 18, 2019; 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.