Organization Active NPI

County of Greenlee

  • Land Ambulance
  • Morenci, AZ
National Provider Identifier
1891785929
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
AZ CON 84 Issued in AZ
Legal business name
COUNTY OF GREENLEE
Practice address
401 Burro Aly
Morenci, AZ 85540-9647
Phone
(928) 865-9184
Fax
(928) 865-9186
NPI assigned
Oct 28, 2005
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Kristy Byrd
Title
Director of Operations
Phone
(928) 865-7500

Corporate family (same tax ID) 1

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

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20040712001445 AZ Part B Supplier - Ambulance Service Supplier 7911985254 Practice locations: Morenci, AZ; Duncan, AZ

National Provider Directory

National Provider Directory
Tax ID family
County of Greenlee (2 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X AZ CON 84 AZ Primary

Addresses

NPPES NPI Registry

Primary practice location

401 Burro Aly
Morenci, AZ 85540-9647

Mailing address

PO Box 218
401 Burro Alley
Morenci, AZ 85540-0218
Phone (928) 865-9184

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 28, 2025.

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1891785929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "address_2": "401 BURRO ALLEY",
            "city": "MORENCI",
            "state": "AZ",
            "postal_code": "855400218",
            "telephone_number": "928-865-9184",
            "fax_number": "928-865-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BURRO ALY",
            "city": "MORENCI",
            "state": "AZ",
            "postal_code": "855409647",
            "telephone_number": "928-865-9184",
            "fax_number": "928-865-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF GREENLEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "928-865-7500"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AZ",
            "license": "AZ CON 84",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morenci, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.