Active NPI
Fort McDowell Yavapai Nation
- Ambulance
- Fort McDowell, AZ
National Provider Identifier
1972652535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- FORT MCDOWELL YAVAPAI NATION
- Doing business as
- Fort McDowell Yavapai Nation Fire Department
- Practice address
- 10755 N Fort McDowell Rd
Suite 4
Fort McDowell, AZ 85264-3107 - Phone
- (480) 789-7521
- Fax
- (480) 789-7525
- NPI assigned
- Jan 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Openshaw
- Title
- Fire Chief
- Phone
- (480) 789-7520
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | AZ | Primary |
Addresses
Primary practice location
10755 N Fort McDowell Rd
Suite 4
Fort McDowell, AZ 85264-3107
Mailing address
10755 N Fort McDowell Rd
Suite 4
Fort McDowell, AZ 85264-3107
Phone (480) 789-7521
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 558942 | Medicaid | AZ |
Other names 1
- Fort McDowell Yavapai Nation Fire Department
National Provider Directory
National Provider DirectoryLocations
10755 N Fort McDowell Rd
Unit 4
Fort McDowell, AZ 85264
Phone (480) 789-7520
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Primary Care Clinic/Center
- Fort McDowell, AZ
- NPI 1053418533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465948800000",
"number": "1972652535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10755 N FORT MCDOWELL RD",
"address_2": "SUITE 4",
"city": "FORT MCDOWELL",
"state": "AZ",
"postal_code": "852643107",
"telephone_number": "480-789-7521",
"fax_number": "480-789-7525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10755 N FORT MCDOWELL RD",
"address_2": "SUITE 4",
"city": "FORT MCDOWELL",
"state": "AZ",
"postal_code": "852643107",
"telephone_number": "480-789-7521",
"fax_number": "480-789-7525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORT MCDOWELL YAVAPAI NATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-10",
"last_updated": "2016-06-15",
"status": "A",
"authorized_official_last_name": "OPENSHAW",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "480-789-7520",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "558942",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Fort McDowell Yavapai Nation Fire Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort McDowell, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.