Arivaca Fire District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

G066GD Issued in AZ

Legal business name

ARIVACA FIRE DISTRICT

Practice address

16091 West Universal Ranch Road
Arivaca, AZ 85601-0416

Phone

(520) 398-2003

Fax

(520) 398-2607

NPI assigned

Mar 27, 2012

Last updated

Nov 3, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Scott Van Boerum

Title

Fire Chief

Phone

(520) 398-2003

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Tax ID family

Arivaca Fire District2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Arivaca Fire District

  • Ambulance
  • Arivaca, AZ
  • NPI 1871468074
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Evan Laughlin, EMT

  • Basic Emergency Medical Technician
  • Arivaca, AZ
  • NPI 1437003126
  NPD (past)

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1972879716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416",
            "city": "ARIVACA",
            "state": "AZ",
            "postal_code": "856010416",
            "telephone_number": "520-398-2003",
            "fax_number": "520-398-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16091 WEST UNIVERSAL RANCH ROAD",
            "city": "ARIVACA",
            "state": "AZ",
            "postal_code": "856010416",
            "telephone_number": "520-398-2003",
            "fax_number": "520-398-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIVACA FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "VAN BOERUM",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "520-398-2003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AZ",
            "license": "G066GD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arivaca Fire District
• Arivaca Ranch LLC (Arivaca Boys Ranch)
• Bird Is the Word LLC
• Daniel Granthan
• Evan Laughlin, EMT
• Southwestern University and Global College (SouthwesternUniversity)

• Land Ambulance in Arivaca, AZ
• Providers in Arivaca, AZ by specialty
• Land Ambulance in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.