BEAVER DAM LITTLEFIELD FIRE DISTRICT (NPI# 1700883113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700883113 |
Entity Type | Organization |
Organization Name | BEAVER DAM LITTLEFIELD FIRE DISTRICT |
Other Organization Name | BEAVER DAM AMBULANCE |
Practice Address |
630 N Hwy 91 Littlefield AZ 86432-0579 |
Mailing Address |
Po Box 4451 Camp Verde AZ 86322-4451 |
Practice Telephone | 9283475114 |
Practice Fax Number | 9283475273 |
Mailing Telephone | 9285670403 |
Mailing Fax Number | 9285676403 |
Enumeration Date | 2005-06-30 |
Last Update Date | 2015-01-23 |
Authorized Official Name | DAMON JACKSON (CAPTAIN) |
Authorized Official Telephone | 9283475114 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
124 | AZ | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RAILROAD MEDICARE | P00371415 | 01 | |
UT | (EIN)-001 | 05 | |
AZ | 747173 | 05 |
Other Name | Type Code |
---|---|
Beaver Dam Ambulance | Other Name - Individual/Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | BEAVER DAM LITTLEFIELD FIRE DISTRICT | 630 N Hwy 91, Littlefield, AZ 86432-3201 |
Street Address |
630 N HWY 91 |
City | LITTLEFIELD |
State | AZ |
Zip Code | 86432-0579 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639681646 | Red Hawk Behavioral Health, LLC | Community Based Residential Treatment Facility, Mental Illness | 3767 South Scenic Blvd, Littlefield, AZ 86432 | 2017-10-31 |
1265707004 | Charlotte Frame | Speech-Language Pathologist | 3436 East Rio Virgin Road, Beaver Dam, AZ 86432 | 2012-03-13 |
1386911386 | Wendie G Black | Psychologist | 3490 E. Rio Virgin Rd., Littlefield, AZ 86432 | 2011-11-19 |
1689955395 | Littlefield Unified School District #9 | Local Education Agency (LEA) | 3490 E Rio Virgin Road, Beaver Dan, AZ 86432 | 2011-09-08 |
1750524054 | Brandon K Finlinson | Physician Assistant | 3272 E. Rio Virgin Rd., Littlefield, AZ 86432 | 2009-04-16 |
1093922148 | Cynthia Terese Schultz | Registered Nurse | 3933 E. Rio Virgin Rd, Littlefield, AZ 86432 | 2007-05-17 |
1417172859 | Encompass Health Services | Point of Service | 4103 E Fleet, Suite 100, Littlefield, AZ 86432 | 2007-04-13 |
1154388072 | Lone Birgit Stephens | Physician Assistant | I-15 Exit 9 At The Firestation, Littlefield, AZ 86432-0490 | 2006-04-26 |
1427053867 | Jarrod D Johnson | Family Medicine | I15 Exit 9 @ The Firestation, Littlefield, AZ 86432-0490 | 2005-06-14 |
1881886059 | Emerson Todd Rowley | Dentist | I-15 Exit 9 At The Firestation, Box 490, Littlefield, AZ 86432-0490 | 2007-08-13 |
Find all providers in zip 86432 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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1790167609 | Abbo Trans LLC | Ambulance | 6444 N 67th Ave Apt 2108, Glendale, AZ 85301-4385 | 2015-06-26 |
Find all providers with the same taxonomy |
City | LITTLEFIELD |
Zip Code | 86432 |
Please comment or provide details below to improve the information on BEAVER DAM LITTLEFIELD FIRE DISTRICT.
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.