AVONDALE FIRE & MEDICAL (NPI# 1053926204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053926204 |
Entity Type | Organization |
Organization Name | AVONDALE FIRE & MEDICAL |
Practice Address |
125 S Avondale Blvd Ste 100 Avondale AZ 85323-5214 |
Practice Telephone | 6233336249 |
Mailing Telephone | 6233336249 |
Enumeration Date | 2020-09-14 |
Last Update Date | 2020-09-14 |
Authorized Official Name | MR. AARON GLASS (DEPUTY CHIEF) |
Authorized Official Telephone | 6233336249 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Avondale Fire & Medical | Other Name - Individual/Organization |
Street Address |
125 S AVONDALE BLVD STE 100 |
City | AVONDALE |
State | AZ |
Zip Code | 85323-5214 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932663994 | Bridgewater Avondale Operations, LLC | Assisted Living Facility | 295 E Van Buren Street, Avondale, AZ 85323 | 2019-01-24 |
1104309152 | Carlos Sifuentes | Physical Therapist | 10750 W Mcdowell Rd., Ste. B-210, Avondale, AZ 85323 | 2018-09-14 |
1225534688 | Dayna Sue Kaepp | Registered Nurse | 3300 N. Santa Fe Trail, Avondale, AZ 85323 | 2018-04-04 |
1407376700 | Amanda Lynn Radcliffe | Nurse Practitioner | 824 N. 99th Ave Ste 108, Avondale, AZ 85323 | 2017-06-27 |
1093253361 | Aquatic-n-writing Rehad | Home Health | 12355 West Cocopah Street, Avondale, AZ 85323 | 2017-02-07 |
1750838348 | Annette A Alvarez | Specialist/Technologist | 295 W Western Avenue, Avondale, AZ 85323 | 2016-09-01 |
1649726886 | Michelle R Dotson | Contractor | 12115 W Van Buren St Apt 1924, Avondale, AZ 85323 | 2016-08-28 |
1619370756 | Amanda Mann | Physical Therapy Assistant | 12804 West Hildalgo, Avondale, AZ 85323 | 2014-10-03 |
1326459306 | Ma Caubalejo | Physical Therapist | 350 East La Canada Blvd, Avondale, AZ 85323 | 2014-05-13 |
1093139545 | Mark Salvador | Physical Therapy Assistant | 11722 W. Mountain View Dr., Avondale, AZ 85323 | 2014-02-04 |
Find all providers in zip 85323 |
Taxonomy Code | 261QE0002X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Emergency Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265065445 | Dignity Health | Clinic/Center | 4975 N Dysart Rd Ste 100, Litchfield Park, AZ 85340-3087 | 2020-02-17 |
1609408665 | Dignity Health | Clinic/Center | 17040 N 51st Ave Ste 100, Glendale, AZ 85308-1496 | 2020-02-07 |
1407313109 | Agh Mesa LLC | Clinic/Center | 1419 W Hunt Hwy, San Tan Valley, AZ 85143-4603 | 2019-02-28 |
1750889820 | Oro Valley Hospital LLC | Clinic/Center | 6350 W Marana Center Blvd, Tucson, AZ 85742 | 2018-01-24 |
1013449008 | Arizona Emergency Center 01, Lp | Clinic/Center | 7285 E Tanque Verde Rd, Tucson, AZ 85715-3468 | 2017-03-30 |
1114466950 | Agh Laveen LLC | Clinic/Center | 8310 W Camelback Rd, Glendale, AZ 85305-3220 | 2017-02-13 |
1528505187 | Northwest Hospital LLC | Clinic/Center | 10146 E Old Vail Rd, Tucson, AZ 85747-9406 | 2017-01-20 |
1053853978 | Agh Laveen LLC | Clinic/Center | 1910 S Gilbert Rd, Mesa, AZ 85204-6808 | 2016-11-09 |
1205378171 | Agh Laveen LLC | Clinic/Center | 2977 E Germann Rd, Chandler, AZ 85286-1586 | 2016-11-09 |
1740722743 | The Emergency Center At Morrison Ranch, LLC | Clinic/Center | 3223 E. Guadalupe Road, Gilbert, AZ 85234 | 2016-11-08 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.