Organization Active NPI

Fort McDowell Yavapai Nation

  • Ambulance
  • Fort McDowell, AZ
National Provider Identifier
1972652535
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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

Updated by the provider on Jun 15, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
558942MedicaidAZ

Other names 1

  • Fort McDowell Yavapai Nation Fire Department Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.