# CITY OF SURPRISE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** City of Surprise Fire - Treat & Refer, Surprise Fire-Medical Department
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649710328
- **Authorized official:** TOM ABBOTT (DIRECTOR)
- **Authorized official phone:** (623) 222-5000

## Contact information

- **Practice address:** 14250 W STATLER PLZ STE 101, SURPRISE, AZ 85374-7474
- **Practice address phone:** (623) 222-5000
- **Mailing address:** DEPT \#880156 PO BOX 29650, PHOENIX, AZ 85038-9650
- **Mailing address phone:** (623) 222-1000
- **Mailing address fax:** (623) 222-5001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | TRN: 17-002 | AZ | Yes |

## Other

- **Enumeration date:** 03/01/2017
- **Last updated:** 03/15/2021