Organization
WHETSTONE FIRE DISTRICT
Active
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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