Organization Active NPI

White Mountain Apache Tribe Fire and Rescue

  • Land Ambulance
  • Whiteriver, AZ
National Provider Identifier
1891152567
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
WHITE MOUNTAIN APACHE TRIBE FIRE AND RESCUE
Practice address
612 S. Chief Ave
Whiteriver, AZ 85941
Phone
(928) 368-6799
Fax
(928) 368-8776
NPI assigned
Jan 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Robynn Longenbaugh
Title
A/R Manager
Phone
(928) 368-6799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

612 S. Chief Ave
Whiteriver, AZ 85941

Mailing address

612 S. Chief Ave
Whiteriver, AZ 85941
Phone (928) 368-6799

National Provider Directory

National Provider Directory
Tax ID family
Rainbow Treatment Center White Mountain Apache Tribe5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1891152567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 S. CHIEF AVE",
            "city": "WHITERIVER",
            "state": "AZ",
            "postal_code": "85941",
            "telephone_number": "928-368-6799",
            "fax_number": "928-368-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S. CHIEF AVE",
            "city": "WHITERIVER",
            "state": "AZ",
            "postal_code": "85941",
            "telephone_number": "928-368-6799",
            "fax_number": "928-368-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE MOUNTAIN APACHE TRIBE FIRE AND RESCUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "LONGENBAUGH",
        "authorized_official_first_name": "ROBYNN",
        "authorized_official_title_or_position": "A/R MANAGER",
        "authorized_official_telephone_number": "928-368-6799"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteriver, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.