Beaver Dam Ambulance

LBN: Beaver Dam Littlefield Fire District
Beaver Dam Ambulance is an health care organization with primary practice located at 630 N Hwy 91 , Littlefield AZ 86432-0579. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Beaver Dam Littlefield Fire District can be contacted via phone (928) 347-5114, or through Jackson, Damon via phone (928) 347-5114.

Contact Information

Primary practice address
630 N Hwy 91 Littlefield AZ 86432-0579
Fax: (928) 347-5273
Website:
Authorized official contact:
Name: Jackson, Damon

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 124 Arizona

Profile Details

NPI number 1700883113
LBN Legal business name Beaver Dam Littlefield Fire District
DBA Doing business as Beaver Dam Ambulance
Authorized official Jackson, Damon
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2005
Last updated Jan 23rd, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700883113 NPPES
Other P00371415 RAILROAD MEDICARE
MEDICAID (EIN)-001 RAILROAD MEDICARE
MEDICAID 747173 RAILROAD MEDICARE

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