Blue Ridge Fire District in Happy Jack - Land Transport
Blue Ridge Fire District - NPI 1689721367
Blue Ridge Fire District is a Land Transport in Happy Jack, Arizona. Blue Ridge Fire District practices all healthcare services and medical treatments related to Land Transport. The NPI Number for Blue Ridge Fire District is 1689721367. The last update date is 2016-10-20.
Blue Ridge Fire District's current location address is 5023 Enchanted Lane, Happy Jack, Arizona. You can contact this provider via phone number 9284772751 and fax number 9284772765. The mailing address for Blue Ridge Fire District is 5023 Enchanted Lane, Happy Jack, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Blue Ridge Fire District |
|---|---|
| Address | 5023 Enchanted Lane, Happy Jack, Arizona |
| Phone Number | 9284772751 |
| Fax Number | 9284772765 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | FIRE CHIEF |
|---|---|
| Authorized Official Name | Banning Earl John |
| Telephone Number | 9284772751 |
NPI Number Detail
| NPI Number | 1689721367 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2016-10-20 |
Provider Mailing Address Detail
| Address | 5023 Enchanted Lane |
|---|---|
| City | Happy Jack |
| State | Arizona (AZ) |
| Post Code | 86024 |
| Phone Number | 9284772751 |
| Fax Number | 9284772765 |
Provider's Primary Taxonomy Detail
| Speciality | Land Transport |
|---|---|
| Taxonomy | 3416L0300X |
| Licence No | 128 |
|
Definition: Provides emergency patient transportation by ground using specialized vehicles equipped with medical equipment and staffed by medical personnel. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| AZ0922020 | AZ | BCBSAZ |
Post Comment/ Review Below
What is the unique provider identifier assigned to Blue Ridge Fire District?
The Blue Ridge Fire District has been issued the NPI (National Provider Identifier) 1689721367 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Blue Ridge Fire District is geographically located?
The Blue Ridge Fire District is physically situated at the following location: 5023 Enchanted Lane, Happy Jack, AZ, 86024.
What is Blue Ridge Fire District's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Blue Ridge Fire District is Land Transport, and the taxonomy code that categorizes this field of expertise is 3416L0300X.
When did the Blue Ridge Fire District receive its 1689721367?
The Blue Ridge Fire District was issued its 1689721367 on 2007-01-04, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Blue Ridge Fire District last refreshed?
The information related to the Blue Ridge Fire District, including its address, specialty, and other relevant details, was last updated on 2016-10-20.