NPI 1194719997 · live from the CMS NPI Registry
Black Canyon Fire District
Ambulance, Land Transport in Black Canyon City, AZ. National Provider Identifier 1194719997, active.
NPI record
| NPI | 1194719997 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance, Land Transport 3416L0300X |
| Practice location | 35050 S Old Black Canyon Hwy, Black Canyon City, AZ 85324 |
| Practice phone | 623-374-5512 |
| Mailing address | Po Box 967, Black Canyon City, AZ 85324 |
| Enumerated | September 7, 2005 |
| Last updated | October 26, 2016 |
| Authorized official | John Nichols, Fire Chief |
| Other names | Black Canyon Fire Department |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance, Land Transport primary | 3416L0300X | 121 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.