Organization
MOHAVE VALLEY FIRE DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MEL S SORENSEN (FIRE CHIEF)
(928) 768-9113
Entity
Organization
Contact information
Practice address
1451 WILLOW DR, MOHAVE VALLEY, AZ 86440-8542
(928) 768-9113
(928) 768-9119
Mailing address
1451 WILLOW DR, MOHAVE VALLEY, AZ 86440-8542
(928) 768-9113
(928) 768-9119
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
38
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003289055
—
NV
01
—
0052407
KAISER
CA
05
—
070441
—
AZ
05
—
1144251-00
—
WY
01
—
AM FS 0398640
BLUE CROSS OF CALIFORNIA
CA
01
—
AZ 0151130
BC/BS OF ARIZONA
AZ
05
—
GA383A2
—
AK
01
—
USAAMB000
BLUE SHIELD OF CALIFORNIA
CA
05
—
XMTE05650
—
CA
Enumeration date
05/11/2006
Last updated
02/02/2012
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