Organization
TONTO BASIN FIRE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN C HOLT CEP (FIRE CHIEF)
(928) 479-2203
Entity
Organization
Contact information
Practice address
373 S OLD HWY 188, TONTO BASIN, AZ 85553-0048
(928) 479-2203
(928) 479-2102
Mailing address
PO BOX 48, TONTO BASIN, AZ 85553-0048
(928) 479-2203
(928) 479-2102
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
CONAZ112
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0151500
BCBS
AZ
01
—
0500641
HEALTHNET
AZ
05
—
173782
—
AZ
01
—
318007
PACIFICARE
—
Enumeration date
04/10/2007
Last updated
08/22/2020
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