FORT MOJAVE MESA FIRE DEPARTMENT NPI 1942393517

NPI Information

NPI: 1942393517
Provider Name: FORT MOJAVE MESA FIRE DEPARTMENT
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 03D1031151

Address:
2230 JOY LN
FORT MOHAVE, AZ
ZIP 86426
Phone: (928) 768-9181
Get Directions

FORT MOJAVE MESA FIRE DEPARTMENT is a land transport ambulance in Fort Mohave, AZ. FORT MOJAVE MESA FIRE DEPARTMENT NPI is 1942393517. The provider is registered as an organization entity type.

The provider's business location address is:

2230 JOY LN
FORT MOHAVE, AZ
ZIP 86426-625
Phone: (928) 768-9181
Fax: (928) 768-8434

The provider's authorized official is Steve A West .
The authorized official title is Battalion Chief and has the following contact phone number (928) 768-9181.

The CLIA number assigned to this NPI record is 03D1031151 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 8/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	82	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	014822-0001	OTHER	ARIZONA	PACIFICARE
2	8886341300	OTHER	ARIZONA	KAISER FOUNDATION
3	590007767	MEDICARE ID-TYPE UNSPECIFIED	ARIZONA	RAILROAD MEDICARE
4	3288114	MEDICAID	ARIZONA
5	XMT002750	MEDICAID	ARIZONA
6	003288081	MEDICAID	ARIZONA
7	071407	MEDICAID	ARIZONA
8	AZ0151150	OTHER	ARIZONA	BC/BS/AZ
9	C09900004351	OTHER	ARIZONA	SIERRA HEALTH
10	X00711	MEDICARE UPIN	ARIZONA
11	Z0000RFBGR	MEDICARE PIN	ARIZONA
12	AZ626073	OTHER	ARIZONA	OXFORD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »