Organization
WHETSTONE FIRE DISTRICT
Active
Other names
Whetstone Fire District Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
PETER BIDON (CHIEF)
(520) 456-1717
Entity
Organization
Contact information
Practice address
2422 N FIREHOUSE LN, HUACHUCA CITY, AZ 85616-9623
(520) 456-1717
(520) 456-0120
Mailing address
2422 N FIREHOUSE LN, HUACHUCA CITY, AZ 85616-9623
(520) 456-1717
(520) 456-0120
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
119
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
396798
—
AZ
01
—
590014505
RAILROAD MEDICARE
AZ
01
—
605159200
DEPT OF LABOR
AZ
01
—
AY6585
HEALTH NET
AZ
01
—
AZ0151990
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
08/02/2005
Last updated
10/04/2012
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