NPI 1457631632

Ponderosa Fire District

Organisation Basic Emergency Medical Technician Bellemont, AZ

Practice location

Address: 11951 W. Shadow Mountain Drive, Bellemont, AZ 86015
Phone: (928) 773-8933
Mailing address: PO Box 16359, Bellemont, AZ 86015-6359

Authorised official

Name: Susa Kelley
Title: Office Administrator
Phone: (928) 773-8933

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X

Other Emergency Medical Technician, Basic providers in Arizona →

Registry record

NPI: 1457631632
Entity type: Organization
NPI issued: 19 Aug 2011
Record last updated: 19 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.