BEAVER DAM LITTLEFIELD FIRE DISTRICT


Address: 630 N Hwy 91, Littlefield, AZ 86432-0579
Phone: 9283475114

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3416L0300X Ambulance
Specialization: Land Transport
124 AZ Transportation Services

Other Provider Identifier

State Issuer Identifier Type Code
RAILROAD MEDICARE P00371415 01
UT (EIN)-001 05
AZ 747173 05

Other Provider/Organization Names

Other Name Type Code
Beaver Dam Ambulance Other Name - Individual/Organization

Other Data Sources

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

Office Location

Street Address 630 N HWY 91
City LITTLEFIELD
State AZ
Zip Code 86432-0579

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 3416L0300X
Grouping Transportation Services
Classification Ambulance
Specialization Land Transport

Taxonomy Definition

Definition to come...
Notes: [1/1/2005: title modified]

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1992277727 Rio Rico Fire District Ambulance 822 Pendleton Dr, Rio Rico, AZ 85648-3254 2018-12-18
1558832865 Bouse Volunteer Fire District Ambulance 27716 Frame Avenue, Bouse, AZ 85325 2018-12-13
1750811063 City of Tempe Ambulance 1400 E Apache Blvd, Tempe, AZ 85281-5921 2017-06-19
1437697422 Pleasant Valley Fire District Ambulance Highway 288, Young, AZ 85554-0303 2017-02-09
1932652815 Maricopa Ambulance, LLC Ambulance 23200 N Pima Rd, Suite 210, Scottsdale, AZ 85255-4388 2016-07-27
1891152567 White Mountain Apache Tribe Fire and Rescue Ambulance 612 S. Chief Ave, Whiteriver, AZ 85941 2016-01-26
1811360365 City of San Luis Arizona Ambulance 1165 North Mccain Avenue, San Luis, AZ 85349-0445 2015-11-05
1790167609 Abbo Trans LLC Ambulance 6444 N 67th Ave Apt 2108, Glendale, AZ 85301-4385 2015-06-26
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Competitor

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City LITTLEFIELD
Zip Code 86432

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Dataset Information

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.

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