Verde Valley Fire District

Primary specialty

AmbulanceTaxonomy code 341600000X

License

106 EMS 2403 Issued in AZ

Legal business name

VERDE VALLEY FIRE DISTRICT

Practice address

2700 E Godard Rd
Cottonwood, AZ 86326-5140

Phone

(928) 634-2578

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Jerry Doerksen

Title

Chief

Phone

(928) 634-2578

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1902947310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2153",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863262153",
            "telephone_number": "928-634-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E GODARD RD",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863265140",
            "telephone_number": "928-634-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDE VALLEY FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "DOERKSEN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "928-634-2578"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AZ",
            "license": "106 EMS 2403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070061",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Verde Mobile Hearing Solutions, LLC
• Verde Valley Ambulance Co Inc
• Verde Valley Community Hospice, LLC (Aviant Hospice Yavapai)
• Verde Valley Concierge Medicine PLLC
• Verde Valley Connection Primary Care PLC
• Verde Valley Foot and Ankle Center, LLC
• Verde Valley Functional Wellness Center & Medicinal Apothecary PLLC
• Verde Valley Heart Center
• Verde Valley Heart, LLC (Verde Valley Heart Center)
• Verde Valley Medical Center (Verde Valley Medical Center Retail Pharmacy)

• Ambulance in Cottonwood, AZ
• Providers in Cottonwood, 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.