High Country Fire Rescue

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

79393 Issued in AZ

Legal business name

HIGH COUNTRY FIRE RESCUE

Practice address

7052 N Pinon Pine St
Williams, AZ 86046-8826

Phone

(928) 635-9988

NPI assigned

May 24, 2010

Last updated

May 24, 2010By 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. Robert L. Trotter, LPN, EMT-B

Title

EMS Captain

Phone

(928) 635-4319

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1982923413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7052 N PINON PINE ST",
            "city": "WILLIAMS",
            "state": "AZ",
            "postal_code": "860468826",
            "telephone_number": "928-635-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7052 N PINON PINE ST",
            "city": "WILLIAMS",
            "state": "AZ",
            "postal_code": "860468826",
            "telephone_number": "928-635-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH COUNTRY FIRE RESCUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "TROTTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EMS CAPTAIN",
        "authorized_official_telephone_number": "928-635-4319",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPN, EMT-B"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Basic",
            "state": "AZ",
            "license": "79393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Anthony Hancz, PTA
• Ethan Jared Hansen, D.P.T.
• Theresa Hawks, PHARMD
• Elizabeth Dawn Haws, FNP-C
• Mary Denise Heiss, MED
• Imac Soraya Reynaga Holmes, ED.D M.S. LPC LCADC
• Timothy Lawrence Jackson, PA
• Kendrick O Johnson, D.O.
• Mary Jones
• Jenna Kay, MD

• Basic Emergency Medical Technician in Williams, AZ
• Providers in Williams, AZ by specialty
• Basic Emergency Medical Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.